| Name of the person initiating Civic Exnora* |
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| Street / residential colony |
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| Activities proposed to be taken including the name of the street / residential colony (see in the web site 'Civic Exnora') |
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| Are you willing to be the convenor of your 'Civic Exnora' * |
Yes No |
| Please mention the list of co-convenors and the members with their contact details. |
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Kindly register our Exnora Innovators Club and grant us affiliation, Please find enclosed Rs. 1500 towards registration fee (Rs. 500) & annual subscription (Rs. 1000) or equal amount in foreign currency. (Cheques to be drawn in favour of Exnora International for those who want to start in India and Exnora International Foundation for those who want to start outside India).
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*Proposed Civic Exnora name should correspond geographically with street / residential colony Eg: ---- Street Civic Exnora , ----. Residential Civic Exnora, etc.
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For any further support, Please contact us at:
Exnora International
#20, Giriappa Road, T Nagar,
Chennai 600017, Tamilnadu, India.
Phone 91 44 2815 3376 / 91 44 2475 9477, 2475 5478 USA No.703 579 8142
Tele Fax 91 44 4219 3596
E-mail mbnirmal@yahoo.com,
mbnirmal@gmail.com &
exnoraindia@hotmail.com
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