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Incubation Centers – Challenge for Replicating Success

REGISTRATION FORM

Name of the organization
Address :
Tel No :
Fax No :
Email :
Contact Person Name :
Name of the delegate in full
Designation

We are enclosing 

     Dated       

for Rs.      towards Registration fee

for    participant(s).
 
Note: Registration Fee is Rs. 500/- per delegate. (Students will be charged Rs. 250/) Cheques/DD to be drawn in favour of GOA CHAMBER OF COMMERCE & INDUSTRY, payable at Panaji, Goa.



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