REGISTRATION FORM
Date: 2022-09-15 Reg. No.: 2026/421 Center Code: 2026 Name : Mohammad Anas Father s Name : Gulshad Date Of Birth : 2003-03-10 Contact Address (Correspondence) : Moh. Begum sarai kalan Amroha (244221) Contact Address (Permanent) : Moh. Begum sarai kalan Amroha (244221) 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)