REGISTRATION FORM
Date: 2026-06-08 Reg. No.: 2026/869 Center Code: 2026 Name : Kirti Father s Name : Komal Kumar Varshney Date Of Birth : 2004-04-21 Contact Address (Correspondence) : Bahjoi,sambhal Contact Address (Permanent) : Bahjoi,sambhal Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Computer Software Covered :  Course Fee : 3500 Rs GST : 0 Rs Total Fee : 3500 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)