REGISTRATION FORM
Date: 2023-04-07 Reg. No.: 2026/364 Center Code: 2026 Name : Pooja kumari Father s Name : Mrs. Virendra Kumar Date Of Birth : 1997-11-12 Contact Address (Correspondence) : Moh vasantgarh seohara bijnor Contact Address (Permanent) : Moh vasantgarh seohara bijnor Contact Details : (R) (O) (M)  Name Of Course : Advance Diploma Software Covered :  Course Fee : 39000 Rs GST : 0 Rs Total Fee : 39000 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)