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DELHI STATE PARAMEDICAL

TECHNICAL EMPLOYEES
FEDERATION

PARAMEDICAL DAY
31st January 2015

MAM College, New Delhi

Office: 115-D, Pocket-I, Dishad Garden, New Delhi - 110095


Corres. Add:- Main Gate, MRD Block, LNJP Hosp, New Delhi -110002,
Ph-011-23232400, Ex.4296) www.trustcradle.com, Email :

DELHI STATE PARAMEDICAL


TECHNICAL EMPLOYEES
FEDERATION

Office: 115-D, Pocket-I, Dishad Garden, New De


Corres. Add:- Main Gate, MRD Block, LNJP Hos
Ph-011-23232400, Ex.4296) www.tr

trustcradle@gmail.com

trustcradle@gmail.com

Participation Form

Participation Form

Name
Date of Birth

Name

DD

MM

YYYY

Male

Female

Date of Birth

DD

MM

YYYY

Address

Address

Phone/
Mobile No.

Phone/
Mobile No.

Email ID

Email ID

Occupation

Occupation

Thanks for your cooperation. This will help us to assist you better.

Thanks for your cooperation. This will help

Date:

Date:

Kindly fill up this form and return it to


Volunteer.

Signature

Kindly fill up this form and return it to


Volunteer.

MEDICAL
LOYEES
N

PARAMEDICAL DAY
31st January 2015

MAM College, New Delhi

Garden, New Delhi - 110095


D Block, LNJP Hosp, New Delhi -110002,
0, Ex.4296) www.trustcradle.com, Email :

tcradle@gmail.com

cipation Form
Male

Female

n. This will help us to assist you better.

eturn it to

Signature

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