REGISTRATION FORM
Date: 2025-06-16 Reg. No.: 2026/876 Center Code: 2026 Name : Mohd Shoeb Father s Name : Ahmad Ali Date Of Birth : 2003-06-01 Contact Address (Correspondence) : Chhajjupura Doyam Contact Address (Permanent) : Chhajjupura Doyam Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Electrical CAD Software Covered :  Course Fee : 5000 Rs GST : 0 Rs Total Fee : 5000 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)