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KRYON WISDOM CENTRE 3, Juhu Shilpa, Khawaja Abbas Road, Opp. J.W.Marriott, Juhu, Mumbai 400049 +91 98207 88703/ +91 98205 40026 [email protected] www.wisdomcentre.co.in REGISTRATION CARD Name of Workshop: Date of Workshop: Venue: Registration Date: ***** Name of Participant: E-Mail ID: Contact Number: Full Address: ***** Enrolled/Registered By:
Transcript of storage.googleapis.com€¦ · Web viewKRYON WISDOM CENTRE. 3, Juhu Shilpa, Khawaja Abbas Road,...
KRYON WISDOM CENTRE3, Juhu Shilpa, Khawaja Abbas Road,
Opp. J.W.Marriott, Juhu, Mumbai 400049
+91 98207 88703/ +91 98205 40026
www.wisdomcentre.co.in
REGISTRATION CARDName of Workshop:
Date of Workshop:
Venue:
Registration Date:
*****
Name of Participant:
E-Mail ID:
Contact Number:
Full Address:
*****
Enrolled/Registered By:
*****
PAYMENT DETAILS
Workshop Fees: (non-refundable/ non-transferable)
1. Bank Transfer-
UTR Reference Number:
Current A/c No: 201001712811
Bank : INDUSIND Bank LTD
Branch : Four Bungalows, Andheri, Mumbai
IFSC Code : INDB0001074
2. Cheque Drop-
Cheque Number: Date:
Bank: Branch:
Cheque (at par) in favor of: ‘Kryon Wisdom Centre’
Office Address: 3, Juhu Shilpa, Khawaja Abbas Road,
Opp. J.W.Marriott, Juhu, Mumbai 400049
Contact Number: +91 93203 33202/ +91 99200 36299
Post Dated Cheque(s)- (Cheques to be couriered to the Office Address above)
Kindly submit details of the cheque(s) below:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
3. Cash Deposit:
(Cash to be deposited on the office address mentioned above)
SIGNATURE/ FULL NAME: DATE:
