REGISTRATION FORM
Date: 2026-10-03 Reg. No.: 2026/951 Center Code: 2026 Name : Vishesh Gabriel Father s Name : Vinay Gabriel Date Of Birth : 2003-07-07 Contact Address (Correspondence) : H. No. 25 , Milan Vihar , Delhi Road, Moradabad Contact Address (Permanent) : C 45 Avantika Colony , MDA, Moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Computer 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)