REGISTRATION FORM
Date: 2025-06-13 Reg. No.: 2026/634 Center Code: 2026 Name : Dishita Bhardwaj Father s Name : Akhil Sharma Date Of Birth : 2006-11-11 Contact Address (Correspondence) : C1 Dev Vihar , mda Contact Address (Permanent) : C1 Dev Vihar,Mda Contact Details : (R) (O) (M)  Name Of Course : Diploma Program Software Covered :  Course Fee : 22000 Rs GST : 0 Rs Total Fee : 22000 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)