REGISTRATION FORM
Date: 2026-03-26 Reg. No.: 2026/779 Center Code: 2026 Name : Vinay Kumar Gautam Father s Name : Mr. Pramod Kumar Date Of Birth : 2006-06-21 Contact Address (Correspondence) : Vishwa Bank Colony Rehna Road Firozabad Contact Address (Permanent) : Village Sheelvant Grameen Bewar District Mainpuri Contact Details : (R) (O) (M)  Name Of Course : Professional Diploma In Civil CAD Software Covered :  Course Fee : 13999 Rs GST : 0 Rs Total Fee : 13999 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)