REGISTRATION FORM

Date: 2019-11-13 Reg. No.: 2026/75 Center Code: 2026
Name : UTSAV SINGH
Father s Name : YOGENDRA KUMAR
Date Of Birth : 1996-11-15
Contact Address
(Correspondence)
: E-272, PREM NAGAR, GALI NO.6, LINE PAR, P.O. MAJHOLA, MORADABAD, 244001
Contact Address
(Permanent)
: E-272, PREM NAGAR, GALI NO.6, LINE PAR, P.O. MAJHOLA, MORADABAD, 244001
Contact Details (R) (O) (M) 
Name Of Course : Master Diploma in Civil CAD
Software Covered
Course Fee : 23000 Rs
GST : 0 Rs
Total Fee : 23000 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)