REGISTRATION FORM
Date: 2026-03-14 Reg. No.: 2026/775 Center Code: 2026 Name : Babita Father s Name : Ashish Shukla Date Of Birth : 2006-09-26 Contact Address (Correspondence) : Government Polytechnic Moradabad Contact Address (Permanent) : Village And Post Lakhnaur Hardoi Uttar Pradesh 241123 Contact Details : (R) (O) (M)  Name Of Course : Diploma Course In Mechanical CAD Software Covered :  Course Fee : 15000 Rs GST : 0 Rs Total Fee : 15000 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)