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DELEGATE REGISTRATION FORM

 

I / We wish to attend the ICAHT - 2010, Please register my name / our names.

DELEGATES
S.No   Name (Block Letter) Fees Rs.
1.
2.
3.
4.
Company Details
5. Company Name
6. Address
7. Telephone
8. Fax
9. Email
Delegates Fee Details
10. Cheque/Draft No.
11. Amount Rs.
12. Dated
   
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