REGISTRATION FORM
Date: 2019-11-19 Reg. No.: 2026/85 Center Code: 2026 Name : Aavantika Father s Name : Devendra kumar Date Of Birth : 1997-04-05 Contact Address (Correspondence) : Village+post-kiwar ,Bijnor Contact Address (Permanent) : Village+post-kiwar Contact Details : (R) (O) (M)  Name Of Course : Diploma Program 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)