REGISTRATION FORM

Date: 2023-10-06 Reg. No.: 2026/425 Center Code: 2026
Name : Mohd Ubaish
Father s Name : Raheem Khan
Date Of Birth : 2003-08-08
Contact Address
(Correspondence)
: Budaun
Contact Address
(Permanent)
: Budaun
Contact Details (R) (O) (M) 
Name Of Course : Certificate Program
Software Covered
Course Fee : 4500 Rs
GST : 0 Rs
Total Fee : 4500 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)