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Application form for the classes  
 



Please fill out the form and drop it at the center/or send it to us by courrier or post with your payment and ID photo:
Alliance Française de Bombay
Theosophy Hall 40, New Marine Lines
Bombay 400 020
Tel: 203 61 87 / 203 59 93 Fax: 206 61 57



Means of payment
Cheque addressed to the Alliance Française de Bombay
Cash

Your registration will be effective only after payment has been received and you have been notified that a place has been reserved for you.

I certify that I have read the conditions and that I accept them (fees once payed are not reimbursable)

Date :

Signature:

I undersigned

 

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Surname : Miss Mrs. Mr.
       
Name :    
       
Address :  
       
Date of birth : day / month / year
       
Place of birth :    
       
Nationality :    
       
Profession :    
 
If student name of Inst. :  
 
       
       
City : Pincode :
       
Phone : Fax :      
       
E-mail :    
       
Previous level completed at Alliance française :
   
       
Class enrolled :  
     
Timing :  
     
Center :  
     
 
     

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