REGISTRATION FORM
Date: 2023-06-12 Reg. No.: 2026/371 Center Code: 2026 Name : Ahmad Raza Father s Name : Aftab Date Of Birth : 2007-05-07 Contact Address (Correspondence) : Chand Kheri moradabad Contact Address (Permanent) : Chand Kheri Dilari moradabad Contact Details : (R) (O) (M)  Name Of Course : Advance Diploma Software Covered :  Course Fee : 49999 Rs GST : 0 Rs Total Fee : 49999 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)