REGISTRATION FORM
Date: 2024-02-01 Reg. No.: 2026/462 Center Code: 2026 Name : Nazir Husain Father s Name : Shakir Husain Date Of Birth : 1990-01-05 Contact Address (Correspondence) : Vill Purani Teh . Nagina Distt. Bijnor Contact Address (Permanent) : Bijnor Contact Details : (R) (O) (M)  Name Of Course : Professional Course in Electrical Automation Software Covered :  Course Fee : 27000 Rs GST : 0 Rs Total Fee : 27000 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)