REGISTRATION FORM
Date: 2025-04-25 Reg. No.: 2026/622 Center Code: 2026 Name : Priti Kumari Father s Name : Balistar Singh Kushwaha Date Of Birth : 2005-07-20 Contact Address (Correspondence) : Ghazipur Contact Address (Permanent) : Ghazipur Contact Details : (R) (O) (M)  Name Of Course : Diploma course in Mechanical CAD Software Covered :  Course Fee : 7000 Rs GST : 0 Rs Total Fee : 7000 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)