Vaidhyasala Whats app group Request Form

Registration

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Please register for whats app group membership( Request)

Full name

Email address

Mobile number

Gender

Country (Current)

Emirates / District / City (current) eg : Dubai, Abu Dhabi , Doha , Riyad

Profession / Job

Age

Nationality

District / City (Home Country) eg : Thrissur, Kollam , Eranakulam

Are you a Vaidyasala Whats app member ?

If "yes" enter all group name each line without coma (eg : UAE Dubai Qatar Main etc)

C/o (Introduced by)


Facebook ID(optional)


Enter the following code


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I Agree

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