REGISTRATION FORM
Date: 2026-07-01 Reg. No.: 2026/898 Center Code: 2026 Name : Anshu Yadav Father s Name : Rakesh Yadav Date Of Birth : 2007-01-01 Contact Address (Correspondence) : Shahabad Contact Address (Permanent) : Shahabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Computer Software Covered :  Course Fee : 13000 Rs GST : 0 Rs Total Fee : 13000 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)