VEDANT ABHYASKRAM SATRA - (55-56-57)
REGISTRATION FORM
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FULL NAME (IN CAPITAL) *
MALE / FEMALE *
AGE *
ADDRESS *
MOBILE NUMBER (WHATSAPP) *
Pan card no.
ANUDAN FOR SATRA *
Bank Details - Account name - PARAM PRAMAN DARSHAN, Bank Name - AXIS,  Branch - Atul, VALSAD, Savings account. Account No. 459010100065812, IFS Code - UTIB0000459.                            
(Possible mode of Payment for Shibir Anudan - Net banking, NEFT, IMPS, RTGS, Cheque.) NOTE - CASH DEPOSIT IN THE BANK IS NOT PERMITTED.
Mode of Payment with details and DATE (If payment is done previously kindly write - Payment Done in the month ...) *
Date of Arrival *
MM
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DD
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YYYY
Time of Arrival *
Time
:
Date of Departure *
MM
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DD
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YYYY
Time of Departure *
Time
:
Note if any
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