International Excursion Trip / Conference in South Africa / Dubai®
29 August 2011 - 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-35 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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