REGISTRATION FORM
Date: 2022-10-18 Reg. No.: 2026/330 Center Code: 2026 Name : Mohd Faizan Khan Father s Name : Ibban Khan Date Of Birth : 2000-03-07 Contact Address (Correspondence) : chakker ki milak near bnsl tower moradabad Contact Address (Permanent) : chakker ki milak near bnsl tower moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 13500 Rs GST : 0 Rs Total Fee : 13500 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)