REGISTRATION FORM

Date: 2025-01-10 Reg. No.: 2026/618 Center Code: 2026
Name : Mirza Shadab Baig
Father s Name : Mirza Mujahed Ali Baig
Date Of Birth : 2001-03-16
Contact Address
(Correspondence)
: 5-2-110, patal Nagri,Gole Khana ,Bidar ,Karnataka(585401)
Contact Address
(Permanent)
: 5-2-110, patal Nagri,Gole Khana ,Bidar ,Karnataka(585401)
Contact Details (R) (O) (M) 
Name Of Course : Certificate course in Civil CAD
Software Covered
Course Fee : 700 Rs
GST : 0 Rs
Total Fee : 700 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)