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 Registration Form
Name                        :

Designation             :

Organization           :

Address                    :

                                        Tel        :                                                fax        :

Payment Details     :

                    Amount    :    ..................................  Draft No.    : ................................................

                    Date        :    ...................................

                    Bank       :    ...................................................................................
            (the amount is payable to 'TMMPE -2000' on SBI at Kharagpur)
 
 

Date    :                                                                                        Signature    :