REGISTRATION FORM
Date: 2019-08-09 Reg. No.: 2026/20 Center Code: 2026 Name : Abhishek Rana Father s Name : Mr. Ajay pal Singh Date Of Birth : 2001-10-14 Contact Address (Correspondence) : K-77, Hartala, moradabad Contact Address (Permanent) : moradabad Contact Details : (R) (O) (M)  Name Of Course : Diploma Program Software Covered :  Course Fee : 5000 Rs GST : 0 Rs Total Fee : 5000 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)