REGISTRATION FORM
Date: 2024-07-18 Reg. No.: 2026/501 Center Code: 2026 Name : Shubham Vishwakarma Father s Name : Mallu Date Of Birth : 2003-03-11 Contact Address (Correspondence) : Adharsh Nagar Near Agriculture Office line Par Moradabad Contact Address (Permanent) : Adharsh Nagar Near Agriculture Office line Par Moradabad Contact Details : (R) (O) (M)  Name Of Course : Advance Diploma Software Covered :  Course Fee : 36500 Rs GST : 0 Rs Total Fee : 36500 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)