REGISTRATION FORM

Date: 2019-09-30 Reg. No.: 2026/56 Center Code: 2026
Name : Rishabh Agarwal
Father s Name : Harish Kumar Agarwal
Date Of Birth : 1997-10-22
Contact Address
(Correspondence)
: Moradabad
Contact Address
(Permanent)
: Moradabad
Contact Details (R) (O) (M) 
Name Of Course : Professional Diploma
Software Covered
Course Fee : 13500 Rs
GST : 0 Rs
Total Fee : 13500 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)