REGISTRATION FORM
Date:
2025-06-17
Reg. No.:
2026/639
Center Code:
2026
Name
: Arshil Malik
Father s Name
: Mohammad Shamim Malik
Date Of Birth
: 2007-11-09
Contact Address
(Correspondence)
: Moradabad
Contact Address
(Permanent)
: Moradabad
Contact Details
:
(R)
(O)
(M)
Name Of Course
: Certificate Course in Computer
Software Covered
: C Programming
Course Fee
: 3500 Rs
GST
: 0 Rs
Total Fee
: 3500 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)