REGISTRATION FORM
Date: 2023-07-02 Reg. No.: 2026/396 Center Code: 2026 Name : Raghav Agarwal Father s Name : Manish Kumar Date Of Birth : 2005-10-04 Contact Address (Correspondence) : 13TH Mahaveerpuram Avantika colony near water tank Moradaabd Contact Address (Permanent) : 13TH Mahaveerpuram Avantika colony near water tank Moradaabd 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)