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Name of School: Grade/Form/Class in 2013-2014: Personal E-mail: Mobile No: Details of co-delegate: First Name: Gender: Family Name: Nationality: Date of Birth (dd/mm/yyyy): Name of School: Grade/Form/Class in 2013-2014: Personal E-mail: Mobile No: Section 2 Payment To take part in DAIMUN 2013, a payment of Rs.2000 needs to be made by cheque payable to Dhirubhai Ambani International School. (Please write your name and mobile number behind the cheque) Form for Security Council Individ.

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