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Annual Picnic 2023
Venue : Subornogram Resort, Rupgonj
Date : 24/02/2023
* Mandatory Field: MUST be filled up.
Name
*
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Others
Date of Birth
*
Date of Marriage
Gender
*
Male
Female
Blood Group
*
A+
A-
B+
B-
AB+
AB-
O+
O-
Present Address
Permanent Address
Mobile
*
Email
*
[This email will be used as your login ID.]
Information of Spouse :
Name :
Profession :
Blood Group
A+
A-
B+
B-
AB+
AB-
O+
O-
Picnic Participation :
Adult
*
Single
With Spouse
Children Below 5 Years
*
0
1
2
3
Children Above 5 Years
*
0
1
2
3
Driver/Staff
*
0
1
2
3
Total Amount
*
/=
Technical Support:
01670233170
[email protected]
Within 48 business hours we will reply you
