REGISTRATION FORM
Date: 2026-04-14 Reg. No.: 2026/788 Center Code: 2026 Name : Nikunj Agrawal Father s Name : Mr Naresh Chandra Agrawal Date Of Birth : 2008-07-22 Contact Address (Correspondence) : Gali Khidkia Mandir Mohalla Jai Jai Ram Near Chedalal School Kasganj Contact Address (Permanent) : Gali Khidkia Mandir Mohalla Jai Jai Ram Near Chedalal School Kasganj Contact Details : (R) (O) (M)  Name Of Course : Diploma Course In Computer Software Covered :  Course Fee : 18090 Rs GST : 0 Rs Total Fee : 18090 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)