REGISTRATION FORM
Date: 2019-07-30 Reg. No.: 2026/11 Center Code: 2026
Name : Vivek Raghav
Father s Name : Moti Singh
Date Of Birth : 1998-06-20
Contact Address
(Correspondence)		 : moradabad
Contact Address
(Permanent)		 : moradabad
Contact Details : (R) (O) (M) 
Name Of Course : Diploma Program
Software Covered : 
Course Fee : 12000 Rs
GST : 0 Rs
Total Fee : 12000 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)