REGISTRATION FORM
Date: 2024-02-04 Reg. No.: 2026/477 Center Code: 2026 Name : Nazir Husain Father s Name : Shakir Husain Date Of Birth : 1990-05-01 Contact Address (Correspondence) : Vill . Purani Teh. Nagina Distt. Bijnor Contact Address (Permanent) : Vill . Purani Teh. Nagina Distt. Bijnor Contact Details : (R) (O) (M)  Name Of Course : Certificate Course in Electrical Hardware Software Covered :  Course Fee : 9000 Rs GST : 0 Rs Total Fee : 9000 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)