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DOMAIN REGISTRATION FORM

Register your domain on-line. Please fill in the form below. Do not leave any blank fields. Your Order Reference number is your cheque / DD number/ Reference number given to you on receipt of cash.

All domains will be registered subject to validity of Order Reference filled in and availability of the domain name.



Domain Name
  (Give 24 Hrs for Domain Registration.)
Order Ref. No.
  (our order ref. no./cheque no./dd no./ mt ref.)

REGISTRANT INFORMATION

Registrant :
Address :
Country :
Phone number :
Fax number. :
E-Mail :
Registration for : year/s
   
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