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REGISTRATION FORM
27th – 28th April 2018(Fri-Sat), 3rd-5th May 2018(Thu-Sat)
Name: _________________________________________________________________________
Membership No. Registration No. ___________________ Designation: __________________
Organization: _________________________________________________________________
Org. Address Postal: _______________________________________________________________
________________________________________________________________________________
Phone No.__________________________ Cell No. _____________________________________
Email: _________________________________________________________________________
Mode of Payment: By Crossed Cheque:_____________ Pay Order:______________________
Online Credit Card:____________________________________________________ (For Members Only)
Signature: __________________
For Office Use Only
Receipt No. ____________ Date: _____/_____/2018 Amount Rs. ______________________
Signature: __________________
3‐8306003 Eil: [email protected] ICMA‐Pakistan Building, 42‐Ferozpur Road, Lahore UAN: 042‐111 042 262
Contact Person: Habib-ullah Shami, Officer (CPD) ICMA Pakistan Building, 42-Ferozpur Road, Lahore
UAN: (042) 111-042-262 Ext 31 | Direct: +92-42-992 14698 | Mobile: 0333-830 6003
