CHAI NHC 2019 Registration
Contact us at 07893 966 203 or nhc@chai-india.org
Name of Delegate *
Your answer
Congregation Name
Your answer
Age *
Your answer
Sex *
Arrival & Departure Date *
15 Oct
16 Oct
17 Oct
18 Oct
19 Oct
20 Oct
Arrival Date
Departure Date
Arrival & Departure Time *
4 AM -- 10 AM
10 AM -- 4 PM
4 PM -- 10 PM
10 PM -- 4 AM
Arrival Time
Departure Time
Institution Details
Name of Institution *
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Place *
Your answer
District *
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State *
Pincode *
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Mobile / Phone Number *
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Email id *
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CHAI Membership No
Your answer
Payment
How will you make payment? *
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