World Jain Confederation

Nomination Form

Full Name *

Address at Which *

Correspondece is *

To Be Sent To The Nominee *

Enter Mobile No *

Enter Fax No

Enter Email Id *

Date of Birth *

Enter Date *

Enter Place *

Please Attach Signature *

Designation *

India : +(91) 022-2263 2220 Email: worldjain@mtnl.net.in