REGISTRATION FORM

Date: 2026-06-08 Reg. No.: 2026/878 Center Code: 2026
Name : Kalpana
Father s Name : Anil Kumar
Date Of Birth : 2007-01-01
Contact Address
(Correspondence)
: Fatehullapur Durg Urf Ranipur,post- Jalalabad,Po- Najibabad,Dist-Bijnor Uttar Pradesh -246763
Contact Address
(Permanent)
: Fatehullapur Durg Urf Ranipur,post- Jalalabad,Po- Najibabad,Dist-Bijnor Uttar Pradesh -246763
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)