REGISTRATION FORM

Date: 2024-08-21 Reg. No.: 2026/524 Center Code: 2026
Name : Harsh Rastogi
Father s Name : Mukesh Rastogi
Date Of Birth : 2006-01-16
Contact Address
(Correspondence)
: Moradabad
Contact Address
(Permanent)
: ShivNagar JantiPur Near IceFactory
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)