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List of Attendees  

   
*Name
*E-Mail Address
Degree Obtained
Year of Graduation
Sports House
Mailing Address
*Telephone Numbers
Accompanied by Spouse
Spouse's Name

*I will be attending (Individual - Rs.3500/- & couple - Rs.6500/-)

    Charges
No of children attending ( 12 Years to 18 Years - Rs.2500/- per head)               Charges
No of guests attending ( Over 18 years - Rs.3500/- per head)              Charges
Children below 12 years - Free             
REGISTRATION AMOUNT DUE                                Rs 
No. of Veg :
No. of Non-Veg. :
Do you want a hotel room to be booked for you ?         
Hotel Requested NAUKUCHIATAL - 29TH AND 30TH OF SEPTEMBER 2012
None
THE LAKE RESORT
HILL SKIRT
BLUE ROSE
ALINDA GUEST HOUSE
SPRING BIRDS
KARNATAK GUEST HOUSE
Type and No. of Rooms Required

 Double :
 Single :

RAMNAGAR - 1ST OCTOBER 2012
None
MAPLE RESORT
CORBETT TUSKER TRAILS
Type and No. of Rooms Required

 Double :
 Single :

HOTEL ADVANCE DUE (Rs.2000/- PER ROOM)
TOTAL AMOUNT DUE <  Rs 
Date of Arrival and Departure   (dd/mm/yyyy)
Specify Special Requests if any
*Mandatory Fields 
    
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