REGISTRATION FORM
Date: 2026-06-08 Reg. No.: 2026/868 Center Code: 2026 Name : Chhaya Father s Name : Munna Lal Date Of Birth : 2004-05-22 Contact Address (Correspondence) : Etmadpur,budaun Contact Address (Permanent) : Etmadpur,budaun Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Computer Software Covered :  Course Fee : 4100 Rs GST : 0 Rs Total Fee : 4100 Rs I have read the terms & conditions printed overleaf, Understood the same and here by confirm having accepted the same for joining the course For : MORADABAD UTTAR PRADESH         Student s Signature Authorised Center (Seal & Signature)