REGISTRATION FORM
Date: 2019-11-17 Reg. No.: 2026/80 Center Code: 2026 Name : AMIT KUMAR Father s Name : ASHOK KUMAR Date Of Birth : 1993-12-30 Contact Address (Correspondence) : NCC LIMITED C/O DR. GULZAR KHAN MEWATI HIG 115 GAJRAULA 244235 AMROHA Contact Address (Permanent) : NAI BAZAR WARD NO 06 ASHOK VASTRALAY NEAR BADI MASJID BUXAR 802101 BIHAR 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)