Certificate Request Form
Full Name
Mobile Number
Email Address
Date of Birth
Course Name
--Select course--
Python with django - PYT
Web Design - WED
Full Stack Developer - FSD
Trainer Name
--Select Trainer name--
Alam Sir
Manaynk Sir
Ashutosh Sir
Paid Full Fee
Yes, I have paid the full fee
No, I have not paid the full fee
Partial, I have paid a part of the fee
Duration
Duration Start Date
Duration End Date
Full Address
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