Name:
Designation:
Organisation:
Mailing Address :
Phone(O):
(R)
Fax:
Mobile
E-Mail address:
Enclosed is a Bank Draft No:
Dated
Amount:
orUS$
in favour of "NTPC Limited"
payable at New Delhi(India)
Date:
Place:
Please get this form photocopied for nominating more than one person
or
You can also download the "Registration form" from our website:www.pmintpc.com