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Application form for the classes  
 


Please fill out the form and drop it at the center/bring it along with your payment: Alliance Française de Delhi (Indo-French Cultural Centre)
72, Lodi Estate - NEW DELHI - 110003

Tel.: (00 91 11) 43 500 200
Fax : (00 91 11) 43 500 228 / 43 500 229


Means of payment
Check payable to the Alliance Française de Delhi
 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 spared 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 françaises :  
   
       
Class enrolled :  
     
Timing :  
 
     

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