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Registration Type*
DelegateStudentForeign Delegate

First Name*

Phone*

Organization /Company Name*

Address

Pin /Zip Code*

Last Name*

Email*

Designation*

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Preferred Accomodation*
Need assistance booking a hotelNIANP Guest HouseI'll manage on my own

No. of persons accompanying*
—Please choose an option—0123

Bank Name*

Amount*

Transaction Mode*
—Please choose an option—Online Transfer /UPIDemand DraftCheque

Your account number*

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Transaction Date*