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  • Ujjain

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    Madhav Godani
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    Dr. Ashish Kumar Godani, a 43-year-old male veterinary assistant surgeon, is registering as a non-member for the ISSARCON-2022 conference in Jabalpur from November 15-19. He will be arriving by personal vehicle on November 15 at 6 PM and departing on November 19 at 10 AM. He has requested single accommodation from November 15-19 and provided his contact and payment details.

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    Dr. Ashish Kumar Godani, a 43-year-old male veterinary assistant surgeon, is registering as a non-member for the ISSARCON-2022 conference in Jabalpur from November 15-19. He will be arriving by personal vehicle on November 15 at 6 PM and departing on November 19 at 10 AM. He has requested single accommodation from November 15-19 and provided his contact and payment details.

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    23 views1 page

    Ujjain

    Uploaded by

    Madhav Godani
    Dr. Ashish Kumar Godani, a 43-year-old male veterinary assistant surgeon, is registering as a non-member for the ISSARCON-2022 conference in Jabalpur from November 15-19. He will be arriving by personal vehicle on November 15 at 6 PM and departing on November 19 at 10 AM. He has requested single accommodation from November 15-19 and provided his contact and payment details.

    Copyright:

    © All Rights Reserved
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    of 1

    ISSARCON-2022

    REGISTRATION FORM

    1. Name: Dr Ashish Kumar Godani

    2. Designation: Veterinary Assistant surgeon

    3. Age: 43 Yrs Gender Male

    4. Address for Correspondence: Veterinary Hospital, Panbihar Distt Ujjain

    5. Contact No.: 9893415662

    6. E-mail: drashish_1978@yahoo.co.in

    7. Registration as Member ISSAR/Non Member/Student/ Research

    Scholar/Foreign Delegate): Non Member.

    8. Enclosed DD no……………………….Date……………………….Amount……………in

    favour of ISSARCON-2022 payable at Jabalpur/UTR No. for online

    payment………………………………………….………………………… dated………………………..

    ARRIVAL PLAN

    Arrival at Jabalpur: Date: 15/11/2022 Time 06:00 PM

    Train/Flight No.: Personal Vehicle

    Departure from Jabalpur: Date: 19/11/2022 Time 10:00 AM

    Train/Flight No.: Personal Vehicle

    ACCOMMODATION REQUEST

    Accommodation request (Single/Double): Single No. of Persons: 01

    Accommodation required from date 15/11/2022 to date 19/11/2022

    Details of Accommoodation Payment:……………………………………

    Place: Ujjain Date 14/11/2022 Dr Ashish Kumar Godani

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