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Registration Form

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Members :One(Reg. Fees : Rs.2,500 - 1 kit) Two(Reg. Fees : Rs.5,000 - 2 kits) Three(Reg. Fees : Rs.6,000 - 3 kits)

User name / Group Name (used for login):	*
E-mail:	*
Password:	*
Verify Password:	*
Participant Name:	*
Participant College Name:	*
Participant College ID:	*
Participant Dept. Name:	*
Participant Year of Study:	*

Date of Birth (YYYY/MM/DD):

Mobile / Phone:

Payment Mode:

Cash on Delivery

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Home Address:

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I agree to abide my the terms and conditions that govern this Challenge and I understand that I need to frequently access challenge.precisionit.co.in to get the latest updates and instructions on the challenge. I also understand that Precision Group may modify the terms and conditions as and when required and I will keep myself updated of the same by visiting the Challenge website: *

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2nd Participant Name:	*
2nd Participant College Name:	*
2nd Participant College ID:	*
2nd Participant Dept. Name:	*
2nd Participant Year of Study:	*

3rd Participant Name:	*
3rd Participant College Name:	*
3rd Participant College ID:	*
3rd Participant Dept. Name:	*
3rd Participant Year of Study:	*