REGISTRATION FORM

Date: 2022-01-12 Reg. No.: 2026/328 Center Code: 2026
Name : Rohan Saifi
Father s Name : Abdul Samad
Date Of Birth : 2000-01-01
Contact Address
(Correspondence)
: moradabad
Contact Address
(Permanent)
: moradabad
Contact Details (R) (O) (M) 
Name Of Course : Certificate Program
Software Covered
Course Fee : 3000 Rs
GST : 0 Rs
Total Fee : 3000 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)