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LIFE PLUS

ENROLMENT FORM

PERSONALITY DEVELOPMENT PROGRAMME

Please enroll me for the programme commencing on:

Please enter your full name below: *


SURNAME	NAME	FATHER / HUSBAND'S NAME

*Full Address :

*Phone Number(s):

Cell Number :

*Email Address :

*Date of Birth :

*Education :

*Occupation :

Designation :

Please tell us how you would want the programme to help you.

Could you please tell me how you came to know about this personality course?

Please send your payment by local cheque / dd for Rs 2,800/- (inclusive of study material) payable at par in Mumbai favouring "Rajiv Kumar Luv". Your seat will be confirmed on receipt of your payment. Please do not delay.

If you need any assistance you may contact me at: 28101245 or 9821248755

Payment may please be couriered to:
Life Plus,
B-206, Khodiyar Bhavan,
Kashimira Bhayander Road, Mira Road (E), Mumbai -107
Phone(s):28101245

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Life Plus,
B-206, Khodiyar Bhavan, Kashimira Bhayander Road, Mira Road (E), Mumbai -107
Phone(s):28101245, 26331466, 9821248755
E-mail :rajiv@rajivkumarluv.com