REGISTRATION FORM
Date: 2019-08-30 Reg. No.: 2026/26 Center Code: 2026 Name : srijan pandey Father s Name : nikunj pandey Date Of Birth : 2001-03-06 Contact Address (Correspondence) : 24 panchsheel colony, civil lines ,moradabad Contact Address (Permanent) : 24 panchsheel colony, civil lines ,moradabad Contact Details : (R) (O) (M)  Name Of Course : Diploma Program Software Covered :  Course Fee : 15000 Rs GST : 0 Rs Total Fee : 15000 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)