REGISTRATION FORM

Date: 2024-07-09 Reg. No.: 2026/554 Center Code: 2026
Name : Hira Muskan
Father s Name : Noushey Ali
Date Of Birth : 2000-05-20
Contact Address
(Correspondence)
: H.NO. 587/3 Islamnagar Shamshi Vihar Karula ,behind Dharm Kanta near Saira Masjid
Contact Address
(Permanent)
: H.NO. 587/3 Islamnagar Shamshi Vihar Karula ,behind Dharm Kanta near Saira Masjid
Contact Details (R) (O) (M) 
Name Of Course : Certificate Program
Software Covered
Course Fee : 500 Rs
GST : 0 Rs
Total Fee : 500 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)