REGISTRATION FORM
Date: 2019-11-28 Reg. No.: 2026/94 Center Code: 2026 Name : Vinay Saraswat Father s Name : Chintamani Sharma Date Of Birth : 2000-07-01 Contact Address (Correspondence) : Vill. Bairampur, post office Kuri rawana 244501 moradabad Contact Address (Permanent) : Vill. Bairampur, post office Kuri rawana 244501 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)