REGISTRATION FORM
Date: 2023-06-20 Reg. No.: 2026/481 Center Code: 2026 Name : Priya Agarwal Father s Name : Dheeraj Kumar Agarwal Date Of Birth : 2002-06-28 Contact Address (Correspondence) : Moradabad Contact Address (Permanent) : Moradabad Contact Details : (R) (O) (M)  Name Of Course : Web Development & Digital Marketing Software Covered :  Course Fee : 35299 Rs GST : 0 Rs Total Fee : 35299 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)