REGISTRATION FORM

Date: 2019-09-21 Reg. No.: 2026/44 Center Code: 2026
Name : Divya Rani
Father s Name : Mr. Sudhish Kumar Varshney
Date Of Birth : 1990-06-15
Contact Address
(Correspondence)
: Moradabad
Contact Address
(Permanent)
: Moradabad
Contact Details (R) (O) (M) 
Name Of Course : Diploma Program
Software Covered
Course Fee : 14000 Rs
GST : 0 Rs
Total Fee : 14000 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)