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4th Field Expedition & Workshop in Spiti Valley
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Registration Form |
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(Please fill in capital letters) Full Name:………………………………………………………………………… Specialization:………………………………………………………………… Organization:…………………………………………………………………… Full Mailing Add.:……………………………………………………………...... ……………………………………………………………………………………………… ……………………………………………………………………………………………… Telephone :Office:………………………………………………………… Residence: ……………… Fax:……………………………………………………………………………………… E-mail:………………………………………………………………………………… Cheque/Draft no.*…………………………………………………………… Issuing Bank:………………………………………………………………………… Date:……………………………………… *Cheque/Draft (A/c PAYEE) should be made Payable to Secretary, APG, Dehradun and should Reach along with this form before 15th August 2007 at the following address:
Secretary ,Association of Petroleum Geologists 3rd Floor, Geology
Division, KDMIPE,ONGC. 9-Kaulagarh Road, Dehradun-248195 (Uttarakhand) Secretary, |