REGISTRATION FORM
Date: 2024-09-07 Reg. No.: 2026/535 Center Code: 2026 Name : Mohd Suleman Father s Name : Anwar Ali Date Of Birth : 2002-01-01 Contact Address (Correspondence) : Behind Old Poilce Station Islam Nagar Pakwara Moradabad Contact Address (Permanent) : Behind Old Poilce Station Islam Nagar Pakwara Moradabad Contact Details : (R) (O) (M)  Name Of Course : Diploma Program Software Covered :  Course Fee : 25000 Rs GST : 0 Rs Total Fee : 25000 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)