Exam Registration Form – Purohit EdTech

Purohit EdTech Pvt. Ltd.

Computer Education & Technology Solutions

116–118, Shree Nathji Arcade, Sharad Chowk, Keshod–362220

+91 9033901201 • purohitedtech@gmail.com

OFFICIAL DOCUMENT

Receipt No.—

Date—

Academic Year—

Exam Date—

👤 Student Details

Student Full Name—

Father’s Name—

Date of Birth—

Gender—

Address—

📞 Contact Information

WhatsApp Number—

Email Address—

💻 Exam Information

Course / Program—

Exam Slot Time

—

Subjects / Papers—

💳 Fee Details

Exam Fee

—

Payment Mode

—

Txn / Ref. No.

—

Status

✅ PAID

PUROHIT EDTECH PVT. LTD.
* AUTHORISED *
Signature & Stamp