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REGISTRATION FORM

Name of Event

Personal Information

First name

Surname

Sex Male Female

Nationality

Passport No

NRIC No
(If Malaysian)

Address
Postcode

Company Name

Mobile Tel

Office Address

Postcode

Office Tel

Registration Type Single Registration Group Registration

For Group Registration-Fill In Full Name Of Other Participants With Contact Particulars

No	Name	Tel No	Email
1
2
3
4
5
6
7

Payment Particulars

Payment Amount: RM X pax = RM

*Fees paid are non-redundable and Organniser reserves the right to make changes to the contents contained herein without prior notice.
*Registration already accepted by the Organniser is transferable if Organiser is notified at least 7 days prior to event date.