REGISTRATION FORM
Date: 2026-09-08 Reg. No.: 2026/948 Center Code: 2026 Name : Adarsh Diwakar Father s Name : Virendra Singh Date Of Birth : 2006-11-08 Contact Address (Correspondence) : Near Old Tehsil, Kot East, Sambhal, Uttar Pradesh - 244302 Contact Address (Permanent) : Near Old Tehsil, Kot East, Sambhal, Uttar Pradesh - 244302 Contact Details : (R) (O) (M)  Name Of Course : Professional Certificate In Data Analytics Software Covered :  Course Fee : 52000 Rs GST : 0 Rs Total Fee : 52000 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)