REGISTRATION FORM
Date: 2026-07-01 Reg. No.: 2026/945 Center Code: 2026 Name : Mahendra Singh Father s Name : Dalchand Singh Date Of Birth : 2005-03-12 Contact Address (Correspondence) : Rajoopur Kalan Thakurdwar Moradabad 244601 Contact Address (Permanent) : Rajoopur Kalan Thakurdwar Moradabad 244601 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)