REGISTRATION FORM

Date: 2023-01-19 Reg. No.: 2026/347 Center Code: 2026
Name : Bhargav Chaudhary
Father s Name : Narendra Singh
Date Of Birth : 2003-08-08
Contact Address
(Correspondence)
: Bijnor
Contact Address
(Permanent)
: Bijnor
Contact Details (R) (O) (M) 
Name Of Course : Diploma Program
Software Covered
Course Fee : 25000 Rs
GST : 0 Rs
Total Fee : 25000 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)