REGISTRATION FORM
Date: 2024-09-25 Reg. No.: 2026/567 Center Code: 2026 Name : Gourav Kumar Father s Name : Karan Singh Date Of Birth : 2007-02-17 Contact Address (Correspondence) : Vill. Bahalol pur post Nagliya Mav ,Gajraula Distt. Amroha Contact Address (Permanent) : Vill. Bahalol pur post Nagliya Mav ,Gajraula Distt. Amroha Contact Details : (R) (O) (M)  Name Of Course : Diploma Program Software Covered :  Course Fee : 21999 Rs GST : 0 Rs Total Fee : 21999 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)