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REGISTRATION FORM
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Institution:
Name of Team:
   
Particulars of team members:
No.
 Name  Matriculation No.
1.
   
2.
   
3.
   
4.
   
5.
   
6.
   
7.
   
8.
   
9.
   
10.
   
 
Please provide 2 contact numbers and email addresses for further correspondence
1st Contact
 Name:  
 Contact Number:  
 Email Address:  
 
2nd Contact
 Name:  
 Contact Number:  
 Email Address:  
 

We agree with the RULES & REGULATIONS and would like to take part in the stompAIDS Challenge 2007