REGISTRATION FORM
Date: 2024-08-21 Reg. No.: 2026/523 Center Code: 2026 Name : Vishal Kumar Father s Name : Rohtash Kumar Date Of Birth : 2004-02-01 Contact Address (Correspondence) : Moradabad Contact Address (Permanent) : Harthala Sabji Mandi Moradabad Contact Details : (R) (O) (M)  Name Of Course : Advance Diploma Software Covered :  Course Fee : 39999 Rs GST : 0 Rs Total Fee : 39999 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)