REGISTRATION FORM
Date: 2019-11-17 Reg. No.: 2026/79 Center Code: 2026 Name : Anshuman Singh Father s Name : Yogendra nath singh Date Of Birth : 1991-10-11 Contact Address (Correspondence) : C/O Gulzar khan HIG-115,MDA colony ,Gajraula,Amroha, U.P Contact Address (Permanent) : Plot nO. 400/6, Balaji Extension, Bhagwanpur, Lnka, varanasi.U.P Contact Details : (R) (O) (M)  Name Of Course : Diploma course in Project Planning and Management 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)