REGISTRATION FORM
Date: 2024-09-17 Reg. No.: 2026/555 Center Code: 2026 Name : Shivam Bhandari Father s Name : Mehrwan Singh Date Of Birth : 2005-03-08 Contact Address (Correspondence) : Raipur Dehradun UK Contact Address (Permanent) : Raipur Dehradun UK Contact Details : (R) (O) (M)  Name Of Course : Advance Diploma Software Covered :  Course Fee : 500 Rs GST : 0 Rs Total Fee : 500 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)