REGISTRATION FORM
Date: 2026-07-01 Reg. No.: 2026/933 Center Code: 2026 Name : Ravi Prakash Father s Name : Ugrasen Date Of Birth : 2005-01-08 Contact Address (Correspondence) : Shahabad,rampur Contact Address (Permanent) : Shahabad,rampur Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Instrumentation and Control Software Covered :  Course Fee : 5100 Rs GST : 0 Rs Total Fee : 5100 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)