Fileds
Marked with * are compulsory
Company Name
* :
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Address
* :
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City
* : |
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Country
* : |
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Telephone
* : |
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TeleFax
* : |
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Person to Contact
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Position in Company
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E-mail
* : |
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EXHIBITION
REQUIREMENTS
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Booth(s) No.
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PRODUCTS
TO BE EXHIBITED |
Please
specify : |
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Exhibitor
Names
1.
2.
3. |
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Please
Note* :
Online booking of booths available |
MODE OF PAYMENT: |
BANK TRANSFER: Swift Code : HSBCINBB 041-152786-007
A/c.
Name: "DR. B. KRISHNA RAU" 041-152786-007 |
DEMAND DRAFT:
in favour of "DR.
B. KRISHNA RAU" A/c. No. 041-152786-007 (OR) "DR. B.
KRISHNA RAU" 7th ASHBPS 2003 A/c. 163998
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Cheque/Bank
Draft No. : |
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Amount
(Rs) : |
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Name
of the Bank : |
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Country
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Dated
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Signature : |
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Date
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Post this Form to:
PROF.
B. KRISHNA RAU
7th Congress
Of ASHBPS 2003
9(5), Chandra Bagh
Avenue II Street,
Mylapore, Chennai - 600 004, Tamil Nadu, INDIA.
Tel:
91-44-28473577,28473777
Fax:
91-44-28473804
E-mail:
[email protected] Website:
www.ashbps2003.com
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