REGISTRATION FORM
Date: 2008-08-25 Reg. No.: 2026/696 Center Code: 2026 Name : Mohd Azam Father s Name : Ali Hasan Date Of Birth : 2006-06-17 Contact Address (Correspondence) : Moradabad Contact Address (Permanent) : Moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Electrical CAD Software Covered :  Course Fee : 9000 Rs GST : 0 Rs Total Fee : 9000 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)