REGISTRATION FORM
Date: 2026-07-01 Reg. No.: 2026/946 Center Code: 2026 Name : Kaushki Pathak Father s Name : Krishanpal Pathak Date Of Birth : 2006-08-07 Contact Address (Correspondence) : Byodhan Khurd Anola Bareilly Contact Address (Permanent) : Byodhan Khurd Anola Bareilly Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Electrical CAD 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)