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Registration Form

Name...............................................................................................................
Designation.......................................................................................................
Organization......................................................................................................
Official Address..................................................................................................
...........................................................................................................................
Phone Office................................................... Mobile........................................
Email............................................................... Fax..............................................
Payment Details (Please tick appropriate and fill)
Payment enclosed No. ........................................................................
Online transfer / On the counter

Signature

(Please send the scan copy of the filled and dully signed
Registration Form at:)

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