REGISTRATION FORM
Date: 2026-06-08 Reg. No.: 2026/890 Center Code: 2026 Name : Anjali Rani Father s Name : Krishna Kumar Date Of Birth : 1998-06-18 Contact Address (Correspondence) : Vill Khanujat Post Habibwala Dhampur Contact Address (Permanent) : Vill Khanujat Post Habibwala Dhampur 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)