REGISTRATION FORM
Date: 2020-12-30 Reg. No.: 2026/211 Center Code: 2026 Name : Mohammad Shadab Ali Father s Name : Riyasat Ali Date Of Birth : 1996-06-08 Contact Address (Correspondence) : MORADABAD Contact Address (Permanent) : MORADABAD Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 18000 Rs GST : 0 Rs Total Fee : 18000 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)