Register – BeSure Sainik Canteen

Register

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1

2

Name*

First Last

Email*

Date of Birth*

Phone*

Force No.*

Present Address*

Street Address City State / Province / Region ZIP / Postal Code

Location of Canteen*

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First Name

Last Name

Email ID

Date Of Birth

Mobile No

Force No

Location Of Canteen

Present Address

City

State / Province / Region

Pin Code

Registration fees

Rs 3000

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Consent

I agree to the Terms & Condition.