REGISTRATION FORM
Date: 2023-11-29 Reg. No.: 2026/448 Center Code: 2026 Name : Abu Sami Father s Name : Shakir Husain Date Of Birth : 2004-07-01 Contact Address (Correspondence) : Moradabad Contact Address (Permanent) : Vill. Chandpurganesh Bilari Moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate course in Civil CAD Software Covered :  Course Fee : 4000 Rs GST : 0 Rs Total Fee : 4000 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)