RESIDENTIAL PACKAGE FOR INDIAN DELEGATE
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Title
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Select your answer
Dr.
Mr.
Mrs.
Ms.
Prof.
First Name
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Last name
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Designation
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Institute
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Postal Address
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City
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State
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Pincode
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Country
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Contact
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Email
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Are you APAGE/IAGE Member?
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Yes
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Select Your Occupancy
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1 Registration + 2 Night Single Occupancy
1 Registration + 3 Night Single Occupancy
1 Registration + 2 Night Double Occupancy
1 Registration + 3 Night Double Occupancy
Do you want to attend the workshop?
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No
GST Number
Amount to pay
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