REGISTRATION FORM
Date: 2019-11-15 Reg. No.: 2026/78 Center Code: 2026 Name : CHINU Father s Name : Mr. MUKESH KUMAR Date Of Birth : 1997-05-25 Contact Address (Correspondence) : VILL- KAMBHOR,POST-SIRDHANI,BIJNOR Contact Address (Permanent) : VILL-KAMBHOR,POST-SIRDHANI,BIJNOR Contact Details : (R) (O) (M)  Name Of Course : Diploma Program Software Covered :  Course Fee : 8000 Rs GST : 0 Rs Total Fee : 8000 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)