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INDIAN ASSOCIATION OF GASTROINTESTINAL ENDOSURGEONS SOUTH ZONE ANNUAL MEET 14TH- 16TH DECEMBER 2001 CHENNAI (MADRAS), INDIA |
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PERSONAL INFORMATION | |||
Please tick any | Prof. Dr. Mr. Ms. | ||
Name | |||
Institution | |||
Address |
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Tel | Fax | ||
Please tick any
HOTEL ACCOMMODATION INFORMATION |
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Name of Hotel | 1st Choice | |
2nd Choice | ||
3rd Choice | ||
Preference | Single Double Twin |
REQUIREMENT |
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____________(numbers) room for |
____________(number) night |
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Check-in (time) ____________ | Carrier & Flight No._____________ | From ______________(Place) |
Check-out (time) ____________ | Carrier & Flight No._____________ | to ______________(Place) |