REGISTRATION FORM
Date: 2024-11-01 Reg. No.: 2026/927 Center Code: 2026 Name : Gourav Kumar Father s Name : Karan Singh Date Of Birth : 2007-02-17 Contact Address (Correspondence) : Village Bhalolpur, Post Nagliya Mev, Distric Amroha Contact Address (Permanent) : Village Bhalolpur, Post Nagliya Mev, Distric Amroha Contact Details : (R) (O) (M)  Name Of Course : Diploma Course In Computer Software Covered :  Course Fee : 40000 Rs GST : 0 Rs Total Fee : 40000 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)