REGISTRATION FORM
Date: 2024-09-10 Reg. No.: 2026/612 Center Code: 2026 Name : Prince Kumar Father s Name : Nipender Singh Date Of Birth : 2002-02-28 Contact Address (Correspondence) : Village Kasampur mev post gajana Distt. Amroha Contact Address (Permanent) : Village Kasampur mev post gajana Distt. Amroha Contact Details : (R) (O) (M)  Name Of Course : Diploma Program Software Covered :  Course Fee : 19999 Rs GST : 0 Rs Total Fee : 19999 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)