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  Conference Registration Form
TOUR REQUEST FORM
Please fill and fax/mail the form to Conference Division

Cox & Kings (I) Ltd.,
Turner Morrison Building, 16 Bank Street, Fort, Mumbai - 400 001
Phone: (022)- 22709100/30 Fax: (022) - 22709161
E-mail: - chayan.bulani@coxandkings.com

Delegate Information:
*  Title *  First Name *  Last Name
*  Address One *  Address Two *  City
*  Zip/Pincode *  State *  Country
*  Email Address *  Telephone No
Delegate Passport Details :
*  Passport Number *  Date of Issue *  Place of Issue
*  Validity *  Nationality  
 

Accompanying Person(s):

Title First Name Last Name
Passport :
Number Date of Issue Place of Issue
Valid Till  Nationality  
 
Accommodation:
Please give your hotel preference:
(Check In/Out Time is: 1200 Noon)
Hotel:
Room Type:
Date In:
Date Out:
Flight Detail:

Date Arrival Flight Nbr. Arr. Time Arriving From - City
Date Departure Flight Nbr. Dep. Time Leaving For - City
Airport Transfer in Delhi – Please Tick:   Yes    No
Tour Programme (Daily):
Ramoji Film City Tour No. of Persons:
Snow World No. of Persons:
Golden triangle No. of Persons:
* denotes required field

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