REGISTRATION FORM
Date: 2025-04-29 Reg. No.: 2026/625 Center Code: 2026 Name : Dev Verma Father s Name : Virendra Kumar Date Of Birth : 2005-10-24 Contact Address (Correspondence) : Deen Dayal Nagar,Phase 2,Moradabad Contact Address (Permanent) : Deen Dayal Nagar,Phase 2,Moradabad Contact Details : (R) (O) (M)  Name Of Course : Diploma Course In Computer Software Covered :  Course Fee : 12000 Rs GST : 0 Rs Total Fee : 12000 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)