REGISTRATION FORM
Date: 2023-07-06 Reg. No.: 2026/377 Center Code: 2026 Name : Shubhali Father s Name : Dharmendra Kumar Date Of Birth : 2003-03-13 Contact Address (Correspondence) : Dilari moradabad Contact Address (Permanent) : Dilari moradabad Contact Details : (R) (O) (M)  Name Of Course : Advance Diploma Software Covered :  Course Fee : 71000 Rs GST : 0 Rs Total Fee : 71000 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)