REGISTRATION FORM

Date: 2026-10-06 Reg. No.: 2026/953 Center Code: 2026
Name : Mohd Mudassir
Father s Name : Shahabuddin
Date Of Birth : 2006-03-02
Contact Address
(Correspondence)
: Mansoor Sarai Pitthapur Seohara
Contact Address
(Permanent)
: Mansoor Sarai Pitthapur Seohara
Contact Details : (R) (O) (M) 
Name Of Course : Diploma In Interior Architecture And Civil Designing
Software Covered : 
Course Fee : 26999 Rs
GST : 0 Rs
Total Fee : 26999 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)