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Chemical Burn Form
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Chemical Burns Management - StoppingIncidents from becoming AccidentsDate : 27-02-2015, VENUE: Country Inn &Suites By Carlson, Goa, Panim!egistration "ormName of sponsoring authority: BALASUBRAMANIAN S MName of Organisation : BRITACEL SILICONES LTDA!!ress : """"""""""""""""""""""""""""""""""""""""""""""""""O#$e No """"""""""""%a& No"""""""""""" Ce'' No""""""""""""""""Emai' i! :"""""""""""""""""""""""""""""Name of De'egate!M#$ICA% &""IC#!1 NameDesignationCe'' NoEmai' i!SA"#'( &""IC#!2 NameDesignationCe'' NoEmai' i!P!&$)C'I&* + %AB ,#A$3 NameDesignationCe'' NoEmai' i!(in!'y note that there is no registration fees for the Seminar )o*e+er, sin$e seats are 'imite!,registration *i'' -e stri$t'y on ./rst $ome /rst ser+e! -asis0-# !#.)#S' #/#!( C&MPA*( '& S#*$ !#P!#S#*'A'I/#S BAS#$ &* ',# 0 C!I'#!IA AS I*$ICA'#$ B#%&- A*$ !#S'!IC' ',# M#MB#!S '& 0 P#! C&MPA*(11 Me!i$a' O#$ers23 Safety )ea!s 4 Safety Manager 4 Safety O#$er5 6ro!u$tion 4 La- )ea!sName 7 Signature of the Sponsoring Authority