REGISTRATION FORM
Date: 2026-06-08 Reg. No.: 2026/892 Center Code: 2026 Name : Tanya Chaudhary Father s Name : Sanjay Singh Date Of Birth : 2007-11-18 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)