IGGMC 2001 BATCH ALUMNI REUNION – PRISM EVENTS NAGPUR

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Registration Form

IGGMC 2001 BATCH ALUMNI REUNION Paid form(#129)

Full Name

Email

Mobile Number

Gender

Male

Female

T-shirt Size

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PAYMENT DETAILS

Registration Amount : ₹29,000 /-

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Payment QR Code

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Bank Transfer Details

Bank: State Bank of India (SBI)

Account Name: Yogita Subramaniam

Account Number: 20420326561

IFSC Code: SBIN0016389

Branch: Titwala Branch

Date Of Transaction

Transaction Reference Number

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