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HAZMAT INDIA
Seminar Date: 19th August 2005  Venue: Taj President, Cuffe Parade, Mumbai.  |   |
 
 
 
     
     
 
 
 
REGISTRATION
 
 
     
   REGISTRATION FORM
Please fill in the form using Capital Letters, Photocopies maybe used for multiple entries 
 
     DOWNLOAD REGISTRATION FORM WORD FILE       PDF FILE  
     DOWNLOAD FEEDBACK FORM WORD FILE       PDF FILE  
 
SEMINAR ON TRANSPORTATION OF HAZARDOUS MATERIAL
19th August 2005
Taj President, Cuffe Parade, Mumbai
 
NAME: ________________________ _________________________ ______________________
  First Name Middle Name Last Name
       
DESIGNATION: ________________________ _________________________ ______________________
       
ORGANISATION: ________________________ _________________________ ______________________
       
ADDRESS: ________________________ _________________________ ______________________
  _________________________ _________________________ ______________________
       
PHONE: ________________________ _________________________ ______________________
  Code Phone (s)  
       
FAX: ________________________ _________________________ ______________________
  Code Facsimile  
       
E-MAIL: ________________________ _________________________ ______________________
       
All payment should be made in the name of
“Bhandarkar Publications – Hazmat India”
and should be sent to:

Bhandarkar Publications
10, Hammersmith Industrial Premises,
S. T. Road, Mahim, Mumbai – 400 016,
Maharashtra, INDIA.
Tel. 2444 2261 / 62 / 63
Fax: 2444 4250
Website: www.hazmatindia.com
E-mail: register@hazmatindia.com

If you have already sent the payment through DD/ Cheque along with the Registration Form duly filled, than please send us your details in order to enable us to process your seminar bookings faster. All you need is to send us the contact and payments details by filling the below form:

NOTE: If you are located in Mumbai you can call us to collect the Registration form & cheque at your convenient time at your office.

PAYMENT DETAIL SUBMISSION FORM
 
  Name:   Organization:
  Address:   State / Province:
  Phone:   For Additional Details (if any):
  Email Id.:  
  DD / Cheque No.:
  Amount (INR):
  Drawn On Bank:    
       
       
 
      
     
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