REGISTRATION FORM
Date: 2023-03-16 Reg. No.: 2026/356 Center Code: 2026 Name : Atul Kumar Father s Name : Arun Kumar Singh Date Of Birth : 2003-01-06 Contact Address (Correspondence) : railway harthala colony moradabad Contact Address (Permanent) : railway harthMoradabadala colony moradabad Contact Details : (R) (O) (M)  Name Of Course : Diploma Program Software Covered :  Course Fee : 23999 Rs GST : 0 Rs Total Fee : 23999 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)