REGISTRATION FORM
Date: 2019-11-15 Reg. No.: 2026/77 Center Code: 2026
Name : SHAGUN CHAUDHARY
Father s Name : MR. BALRAM SINGH
Date Of Birth : 1997-07-25
Contact Address
(Correspondence)		 : 9457831273
Contact Address
(Permanent)		 : VILL-BAGICHI,POST-SWAHERI,DIST-BIJNOR
Contact Details : (R) (O) (M) 
Name Of Course : Diploma Program
Software Covered : 
Course Fee : 14500 Rs
GST : 0 Rs
Total Fee : 14500 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)