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ANNIVERSARY FORM
CIPHER (CPR) 2025 at Hyderabad. Anniversary attendees form
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NAME
*
Your answer
PLACE
*
Your answer
CPAY and Bitnium ID
*
Your answer
YOUR WALLET ADDRESS
*
Your answer
USDT TRANSACTION HASH
*
Your answer
SWAP TRANSACTION HASH
*
Your answer
STAKE TRANSACTION HASH
*
Your answer
Bintnium INR deposit details
*
Your answer
CPAY INR deposit details
*
Your answer
DATE
*
MM
/
DD
/
YYYY
Male T SHIRT SIZE
*
S
M
L
XL
XXL
Female T SHIRT SIZE
S
M
L
XL
XXL
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Account holder's GENDER
*
MALE
FEMALE
Family details
MALE
FEMALE
Family member Name:
Child 1 Name:
Child 2 Name
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EMAIL ID
*
Your answer
MOBILE NUMBER
*
Your answer
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