REGISTRATION FORM
Date: 2019-09-30 Reg. No.: 2026/55 Center Code: 2026 Name : Mubashshir Father s Name : Naseer hasan Date Of Birth : 1994-03-27 Contact Address (Correspondence) : Moradabad Contact Address (Permanent) : Chandpur Distt. Bijnor Contact Details : (R) (O) (M)  Name Of Course : Certificate Program 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)