REGISTRATION FORM
Date: 2022-10-25 Reg. No.: 2026/358 Center Code: 2026 Name : Akshat Srivastava Father s Name : Late. Sandeep Srivastava Date Of Birth : 2001-04-10 Contact Address (Correspondence) : D225-premnagarcolonylinepar mbd Contact Address (Permanent) : D225 -premnagarcolonylinepar mbd 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)