REGISTRATION FORM
Date: 2020-01-10 Reg. No.: 2026/97 Center Code: 2026 Name : santosh maurya Father s Name : balkishun Date Of Birth : 1998-05-08 Contact Address (Correspondence) : jamin shekhpur post mandanpur dist azamgarh Contact Address (Permanent) : jamin shekhpur post mandanpur dist azamgarh Contact Details : (R) (O) (M)  Name Of Course : Certificate course in Electrical CAD Software Covered :  Course Fee : 1000 Rs GST : 0 Rs Total Fee : 1000 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)