REGISTRATION FORM
Date: 2019-07-29 Reg. No.: 2026/9 Center Code: 2026 Name : beeti ray Father s Name : vishal ray Date Of Birth : 2000-09-04 Contact Address (Correspondence) : milak bhola singh sonakpur moradabad Contact Address (Permanent) : milak bhola singh sonakpur moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 5000 Rs GST : 0 Rs Total Fee : 5000 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)