REGISTRATION FORM
Date:
2019-08-31
Reg. No.:
2026/27
Center Code:
2026
Name
: Moh Ayan
Father s Name
: Mahmood Ahmad
Date Of Birth
: 1997-07-09
Contact Address
(Correspondence)
: 378 a mau Vidhyanagar Railway Station road Harthala Sonakpur Moradabad
Contact Address
(Permanent)
: 378 a mau Vidhyanagar Railway Station road Harthala Sonakpur Moradabad
Contact Details
:
(R)
(O)
(M)
Name Of Course
: Diploma Program
Software Covered
:
Course Fee
: 12500 Rs
GST
: 0 Rs
Total Fee
: 12500 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)
