REGISTRATION FORM

Date: 2026-07-01 Reg. No.: 2026/950 Center Code: 2026
Name : Prashant Kumar
Father s Name : Karmpal Singh
Date Of Birth : 2006-05-02
Contact Address
(Correspondence)
: Anyari Urf Alinagar
Contact Address
(Permanent)
: Anyari Urf Alinagar
Contact Details : (R) (O) (M) 
Name Of Course : Certificate Course In Mechanical Production
Software Covered : 
Course Fee : 1200 Rs
GST : 0 Rs
Total Fee : 1200 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)