REGISTRATION FORM
Date: 2024-11-07 Reg. No.: 2026/587 Center Code: 2026 Name : Mohammad Faizan Father s Name : Mohammad Yusuf Date Of Birth : 1994-08-10 Contact Address (Correspondence) : Lal Qabar chinigiran rampur Contact Address (Permanent) : Lal Qabar chinigiran rampur Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 17000 Rs GST : 0 Rs Total Fee : 17000 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)