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AOI DELHI MEMBERSHIP FORM 2008-09

Title
Prof Dr

Surname

First Name

Date of Birth
D M Y

Qualification Year of passing Institute

Address—Work

Tel City Pin

Residence

Tel City Pin


Mobile E-Mail

Special Interest
Professional Area Of Expertise\Specialization

Hobbies

Spouse’s Name

Anniversary
D M Y

Proposed by -------------------- LM no -----------------

Seconded by --------------------- LM no ---------------

Please attach attested copy of MCI Registration /Degrees


DD 800/- in favour of “AOI DELHI” payable at Delhi
Email: lmparashar@gmail.com
Dr. Lalit Mohan Parashar
159, Sukhdev Vihar, New Delhi - 110025
Tel;01126919340, 011 46542926 Mob; 09811154220

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