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About CITI - CITI YEG - Registration Form

I am interested in joining the CITI’s Young Entrepreneurs’ Group.  My details are:
Name *
Date of Birth*
Address *
Phone*
Fax*
Email*
Mobile*
Web
Educational Qualifications  
  Course College Institute Year of Completion (dd/mm/yyyy)
Post Graduation
Graduation
School
Company/Group
Group Activities
Company Turnover (Mfg. / Trading)
Work Experience & Positions held  

Company Profile (with which associated) and main activity of the Company/Group
Member of Textile Associations/Committees

References (YEG or CITI Members)
Extra circular activities
Special Interests
   

I am sending herewith a demand draft/cheque (at par) of Rs.35,000/- (Thirty Five Thousand Only) favouring ‘Confederation of Indian Textile Industry’, payable at Delhi, which includes Rs.25,000/- as Membership Fee and Rs.10,000/- as Annual Subscription for the year 2009-10.

Applicant’s Name & Designation with Official Stamp
 
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