REGISTRATION FORM
Date: 2026-07-01 Reg. No.: 2026/897 Center Code: 2026 Name : Vivek Kumar Father s Name : Dinesh Kumar Date Of Birth : 2007-07-01 Contact Address (Correspondence) : Kanth,moradabad Contact Address (Permanent) : Kanth,moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Electrical IC Software Covered :  Course Fee : 1100 Rs GST : 0 Rs Total Fee : 1100 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)