REGISTRATION FORM
Date: 2023-07-25 Reg. No.: 2026/388 Center Code: 2026 Name : Mukul Pratap Singh Father s Name : Umesh Pal Singh Date Of Birth : 2001-03-24 Contact Address (Correspondence) : HNO -319 Rafat Colony Jwalanagar Contact Address (Permanent) : HNO -319 Rafat Colony Jwalanagar Contact Details : (R) (O) (M)  Name Of Course : Advance Diploma Software Covered :  Course Fee : 15000 Rs GST : 0 Rs Total Fee : 15000 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)