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EIPEX-08

Eastern India Philatelic Exhibition


25th & 26th October, 2008
Bhubaneswar

EXHIBITION ENTRY FORM


(Please type or fill the form and submit in duplicate and must be sent to the
Organizing Secretary, EIPEX-08 by 15-10-08.)

Exhibitor’s Name ( with EIPA


Membership No):

Exhibitor’s Address (With Telephone


Number and E-mail ):

Date of Birth (for youth below 18 years):

Title of the Exhibit:

Short description of the Exhibit:

Awards Previously won:

Frames Required:

The undersigned confirms acceptance of all relevant regulations applying EIPEX-08 Philatelic
Exhibition.

Date Signature

(For Office use only)

Entry No: Frames allotted Frame Nos. First time entry

Organizing Secretary

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