REGISTRATION FORM
Date: 2023-02-28 Reg. No.: 2026/353 Center Code: 2026 Name : Ajay Kumar Father s Name : Lal Singh Date Of Birth : 2005-05-25 Contact Address (Correspondence) : Vill. Simla Post- Mundha kheri Contact Address (Permanent) : Vill. Simla Post- Mundha kheri Contact Details : (R) (O) (M)  Name Of Course : Advance Diploma Software Covered :  Course Fee : 71000 Rs GST : 0 Rs Total Fee : 71000 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)