REGISTRATION FORM
Date: 2019-11-17 Reg. No.: 2026/81 Center Code: 2026 Name : Shna Parveen Father s Name : Shakeel Ahmad Date Of Birth : 2001-04-05 Contact Address (Correspondence) : Mankua maksoodpur moradabad Contact Address (Permanent) : Mankua maksoodpur moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Program 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)