REGISTRATION FORM
Date: 2021-09-20 Reg. No.: 2026/262 Center Code: 2026 Name : Priya Father s Name : Late. Dharam Prakash Date Of Birth : 1998-03-14 Contact Address (Correspondence) : Moradabad Contact Address (Permanent) : Moradabad Contact Details : (R) (O) (M)  Name Of Course : Advance Diploma Using Web Designing Software Covered :  Course Fee : 20700 Rs GST : 0 Rs Total Fee : 20700 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)