REGISTRATION FORM
Date: 2024-09-11 Reg. No.: 2026/545 Center Code: 2026 Name : Vandana Thakur Father s Name : Neeraj Kumar Date Of Birth : 2005-03-14 Contact Address (Correspondence) : Girls Polytechnic Moradabad Contact Address (Permanent) : Aligarh Contact Details : (R) (O) (M)  Name Of Course : Diploma Program Software Covered :  Course Fee : 6000 Rs GST : 0 Rs Total Fee : 6000 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)