REGISTRATION FORM

Date: 2023-07-30 Reg. No.: 2026/394 Center Code: 2026
Name : Harshita
Father s Name : Praveen Kumar
Date Of Birth : 2003-03-17
Contact Address
(Correspondence)
: Narayan tola new basti Bahjoi Sambhal UP
Contact Address
(Permanent)
: Narayan tola new basti Bahjoi Sambhal UP
Contact Details (R) (O) (M) 
Name Of Course : Front End Development
Software Covered
Course Fee : 2200 Rs
GST : 0 Rs
Total Fee : 2200 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)