REGISTRATION FORM

Date: 2021-02-04 Reg. No.: 2026/231 Center Code: 2026
Name : Surbhi Rastogi
Father s Name : Indrajit Singh
Date Of Birth : 2000-10-02
Contact Address
(Correspondence)
: MORADABAD
Contact Address
(Permanent)
: MORADABAD
Contact Details (R) (O) (M) 
Name Of Course : Diploma Program
Software Covered
Course Fee : 19000 Rs
GST : 0 Rs
Total Fee : 19000 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)