REGISTRATION FORM
Date: 2019-09-25 Reg. No.: 2026/50 Center Code: 2026
Name : Mohd Moin
Father s Name : Mohd Jabbar
Date Of Birth : 2001-10-05
Contact Address
(Correspondence)		 : Moradabad
Contact Address
(Permanent)		 : Moradabad
Contact Details : (R) (O) (M) 
Name Of Course : Certificate Program
Software Covered : 
Course Fee : 7500 Rs
GST : 0 Rs
Total Fee : 7500 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)