REGISTRATION FORM
Date: 2026-04-03 Reg. No.: 2026/783 Center Code: 2026 Name : Vinay Kumar Gautam Father s Name : Pramod Kumar Date Of Birth : 2006-06-21 Contact Address (Correspondence) : Vishwa Colony Rehna Road Firozabad Contact Address (Permanent) : Village Sheevant Grameen Bewar, Bhogaon Mainpuri Contact Details : (R) (O) (M)  Name Of Course : Diploma Course In Civil CAD Software Covered :  Course Fee : 5000 Rs GST : 0 Rs Total Fee : 5000 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)