REGISTRATION FORM
Date: 2025-01-27 Reg. No.: 2026/601 Center Code: 2026 Name : Prabhakar Father s Name : Surendra Singh Date Of Birth : 1998-08-14 Contact Address (Correspondence) : Govind Nagar Prabhat Market Mordabad Contact Address (Permanent) : Govind Nagar Prabhat Market Mordabad Contact Details : (R) (O) (M)  Name Of Course : Professional 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)