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Registration/PC Rental Form

Name Game Name (nick) Clan Address Phone No. E-mail Payment Calculator Item Qty. Rate LAN Party seat Rs.500 Tournament Pass Rs.500 Rental PC CPU Rs.1,000 LCD Rs.1,000 Total Amount Payment Details Deposit in Branch Date of Deposit Amount
If depositing cheque/making online transfer fill following additional info.

Amount Rs.0 Rs.0 Rs.0 Rs.0 Rs.0

A/C Holder name A/c Number Bank

Name Game Name (nick) Clan Player 1 Address Phone No. E-mail Name Game Name (nick) Clan Player 2 Address Phone No. E-mail Name Game Name (nick) Clan Player 3 Address Phone No. E-mail Name Game Name (nick) Clan Player 4 Address Phone No. E-mail Name Game Name (nick) Clan Player 5 Address Phone No. E-mail

Anant Sharma

B-35 , Manavsthali Apartments , Vasundhara Enclave , East Delhi , 110096

Anirudh Mathur

you can add more players info using above format.

Anant Sharma

nts , Vasundhara Enclave , East Delhi , 110096

Anirudh Mathur

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