REGISTRATION FORM FOR IETE2017
Please fill up all relevant information to register for INTERNATIONAL ENGINEERING & TECHNOLOGY EXHIBITION 2017 to be held in MULTIMEDIA UNIVERSITY, MELAKA FROM 18-19 SEPTEMBER 2017.
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TEAM NAME
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INSTITUTION OF HIGHER LEARNING (IHL) / SCHOOL NAME
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PROJECT TITLE
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PARTICIPANT CATEGORY
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PROJECT CATEGORY
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PROTOTYPE
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NAME AND DESIGNATION OF MENTOR
EXAMPLE: (1) MR ABC (2) LECTURER/TEACHER
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CONTACT DETAILS FOR MENTOR (PHONE & EMAIL)
EXAMPLE: (1) 019-9999999 (2) abc@ihl.com
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PARTICIPANT#1 (NAME, CONTACT NUMBER, EMAIL, I.C./PASSPORT NUMBER)
EXAMPLE: (1) MR XYZ (2) 014-4444444 (3) xyz@ihl.com (4) 000000-00-0000
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PARTICIPANT#2 (NAME, CONTACT NUMBER, EMAIL, I.C./PASSPORT NUMBER)
EXAMPLE: (1) MR XYZ (2) 014-4444444 (3) xyz@ihl.com (4) 000000-00-0000
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PARTICIPANT#3 (NAME, CONTACT NUMBER, EMAIL, I.C./PASSPORT NUMBER)
EXAMPLE: (1) MR XYZ (2) 014-4444444 (3) xyz@ihl.com (4) 000000-00-0000
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PAYMENT COMPLETION
Please email your proof of payment details to: iete@mmu.edu.my
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