REGISTRATION FORM
Date: 2026-06-08 Reg. No.: 2026/874 Center Code: 2026 Name : Anshika Father s Name : Surendra Singh Date Of Birth : 2009-01-01 Contact Address (Correspondence) : Majhola Fatahpur,Harphari,Sambhal,Uttar Pradesh-202421 Contact Address (Permanent) : Majhola Fatahpur,Harphari,Sambhal,Uttar Pradesh-202421 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)