REGISTRATION FORM
Date: 2024-09-07 Reg. No.: 2026/536 Center Code: 2026 Name : Mohammad Moin Father s Name : Zareef Ahmad Date Of Birth : 2006-01-01 Contact Address (Correspondence) : Near Budh Bazar Masjid Delhi Road Pakbara Contact Address (Permanent) : Near Budh Bazar Masjid Delhi Road Pakbara 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)