REGISTRATION FORM
Date: 2025-05-01 Reg. No.: 2026/633 Center Code: 2026 Name : Himanshu Chauhan Father s Name : Mahipal Singh Date Of Birth : 2000-07-01 Contact Address (Correspondence) : Rampur Contact Address (Permanent) : Chak Gajraula Teh: Tanda Post: RamNagar LatifPur Contact Details : (R) (O) (M)  Name Of Course : Advance Diploma in Data Analyst Software Covered :  Course Fee : 30350 Rs GST : 0 Rs Total Fee : 30350 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)