REGISTRATION FORM
Date: 2017-02-26 Reg. No.: 2026/771 Center Code: 2026 Name : Priya Father s Name : Late. Dharam Prakash Date Of Birth :  Contact Address (Correspondence) :  Contact Address (Permanent) :  Contact Details : (R) (O) (M)  Name Of Course : Computer Program Software Covered :  Course Fee : 20000 Rs GST : 0 Rs Total Fee : 20000 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)