REGISTRATION FORM
Date: 2019-08-01 Reg. No.: 2026/14 Center Code: 2026
Name : Hitendra Gautam
Father s Name : Gopi Chandra Gautam
Date Of Birth : 1997-08-08
Contact Address
(Correspondence)		 : moradabad
Contact Address
(Permanent)		 : moradabad
Contact Details : (R) (O) (M) 
Name Of Course : Diploma Program
Software Covered : 
Course Fee : 7700 Rs
GST : 0 Rs
Total Fee : 7700 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)