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Data Bank

Name of Rotarian who wish to attend The RI Convention at Brisbane/Australia ( As written in Passport)  :

Gender  : Male              Female
Age  :
Mailing Address  :
Phone No.  :
Fax  :
Mobile  :
Email  :
Passport  :

Ready              not ready
Passport Number  :
Date of Issue  :
Place of Issue  :
Validity upto  :
Wish to talk  :  

Plan A- Only RI Convention  :

Plan B - Pre Convention Australia Tour  :

Plan C - Post Convention Australia Tour  :


 

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