REGISTRATION FORM
Date: 2025-01-20 Reg. No.: 2026/599 Center Code: 2026 Name : Tanveer Ahmed Father s Name : Sirajul Haque Date Of Birth : 1986-08-08 Contact Address (Correspondence) : Jigar Colony Moradabad Contact Address (Permanent) : Jigar Colony Moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 9100 Rs GST : 0 Rs Total Fee : 9100 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)