REGISTRATION FORM
Date: 2020-02-26 Reg. No.: 2026/148 Center Code: 2026 Name : Saksham Tiwari Father s Name : Mr. Santosh Tiwari Date Of Birth : 1998-04-13 Contact Address (Correspondence) : Moradabad Contact Address (Permanent) : Sheakpur Ashrafpur,kalapur, khutahan, jaunpur, (222139 ) Contact Details : (R) (O) (M)  Name Of Course : Diploma course in Mechanical CAD 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)