REGISTRATION FORM
Date: 2025-07-25 Reg. No.: 2026/658 Center Code: 2026 Name : Tabassum Father s Name : Saleem Khan Date Of Birth : 1997-03-03 Contact Address (Correspondence) : Chhaparra Samodia,Rampur(244924) Contact Address (Permanent) : Chhaparra Samodia,Rampur(244924) Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Electronics Software Covered : Python Course Fee : 4999 Rs GST : 0 Rs Total Fee : 4999 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)