REGISTRATION FORM
Date: 2023-10-27 Reg. No.: 2026/437 Center Code: 2026 Name : Prince Saxena Father s Name : Sanjeev Saxena Date Of Birth : 2004-05-26 Contact Address (Correspondence) : Govind Nagar Gali No 5 , Moradabad Contact Address (Permanent) : Govind Nagar Gali No 5 , 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)