REGISTRATION FORM
Date: 2023-05-03 Reg. No.: 2026/367 Center Code: 2026 Name : Priyank Bhatnagar Father s Name : Nirankar Bhatnagar Date Of Birth : 1990-07-12 Contact Address (Correspondence) : Shiv Chowk Moh. Brahmnan bijnor Contact Address (Permanent) : Shiv Chowk Moh. Brahmnan bijnor Contact Details : (R) (O) (M)  Name Of Course : Advance Diploma Software Covered :  Course Fee : 41000 Rs GST : 0 Rs Total Fee : 41000 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)