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REGISTRATION FORM |
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BANK DETAILS OF THE HOTEL
Bank name- State bank of India
Branch- Thanacharial, Dibrugarh
Account holder name- Hotel Little Palace (A unit of Little India Pvt. Ltd.)
IFSC code- SBIN0000071
Account number- 30914595112
Account type- Current account |
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Please Send Hard Copy of The Registration Form to: |
Prof. Dr. Shantanu Lahkar
Address: Archana Trauma and orthopaedics Hospital, Paltan Bazar, Dibrugarh, Assam, Pin - 786005
Mobile: +91-9435031036
Email: drslahkarortho@gmail.com |
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Registration fee includes:
1. Welcome dinner on 30th December
2. Lunch on 31st December
3. Cocktail Dinner with musical night on 31st December
4. Video and still photography on 31st December night
5. Souvenir
6. Memento to each member |
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