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Registration form

Name:

School

Designation

Years of experience with the


existing school
Address

Telephone(s)

E-mail:

Payment details

Cheque No./
Demand Draft No.
Amount (Rs.)

Amount in words (Rupees

Bank

For your reference

Please mail the Registration Form along with the cheque/DD to Disha India Education Fondation, Acharya Tulsi Global Meditation
Centre, Sector 62,
Opp. The Heritage School, Gurgaon-122003
Cheque/DD should be in favour of ‘Disha India Education Foundation’ payable in New Delhi.
Last date of Registration: 15th October, 2009.
Cancellations till 30th October, 2009 carry no charge. 50% of the fee paid will be charged on cancellation after 31st October, 2009.
You may use photocopies of this form for multiple registrations.
You will receive a detailed schedule and travel details upon registration.
What are the challenges that you face as a leader in your school?

What are your expectations from the program?

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