International Excursion Trip / Conference in South Africa / Dubai

International Excursion Trip / Conference in South Africa / Dubai®
.9 August 2..1 – 12 September 2011,
DELEGATE FORM
Name :………………………………………………………………………………………………..
Sex :…………………………………………Age :………………………………………………
Birth Details (Date, Time & Place of Birth) :…………………………………………………………….
Address :……………………………………………………………………………………………….
:……………………………………………………………………………………………….
:……………………………………………………………………………………………………………………….
Phone : (Res.) ……………………………………………… (Off.) :………………………………………………………….
E-mail :…………………………………………………………Web :………………………………………………………………..
Your Specialization- (Tick at appropriate place) :
(i) Astrology (ii) Palmistry (iii) Numerology (iv) Karmakanda (v) Tantra
(vi) Vaastu Shastra (vii) Holistic Healings (Reiki/ Meditation/ Yoga/ Accupressure/ Magnet/ Color therapy)
(vii) Other, please specify :……………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
Years since associated with astrology ……………………………………………………………………………………
Passport Number…………………………………. Issued From ………………………… Valid Upto………………….
Food – Option for Airline (Tick at appropriate one):
(i) Jain Food (Without Onion)
(ii) Vegetarian Food
(iii) Non Vegetarian Food
………………………………………………………………….
Please mail your delegate form, payment and all documents to Future Point, D68, Hauz Khas,
New Delhi 110016 for processing your application.
Head Office
Future Point
X-.5 Okhla Industrial Area,
Phase II, New Delhi – 110020
E-mail: mail@futurepointindia.com,
Web: www.futurepointindia.com
Branch Office
Future Point
D-68 Hauz Khas,
New Delhi – 110016
Ph 40541021
E-mail: mail@futurepointindia.com,
Web: www.futurepointindia.com
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