REGISTRATION FORM
Date: 2021-04-09 Reg. No.: 2026/242 Center Code: 2026 Name : Vasu Agarwal Father s Name : Vikas Kumar Agarwal Date Of Birth : 2002-04-07 Contact Address (Correspondence) : MIG CE-7A Ramganga Vihar Moradabad Contact Address (Permanent) : MIG CE-7A Ramganga Vihar 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)