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Registration Form
2nd PES Student Congress 2016­ Kuala Lumpur August 15-­17, 2016
PERSONAL DETAIL
1. First Name
2. Last Name
3. Gender
4. Age
5. IEEE Membership Number
6. Email Address
7. University/Institution Name
8. University/Institution Address
9. Country
PES Student Chapter Details
10. Name of IEEE PES Student Chapter
11. IEEE Region
12. Your position in PES Student Chapter
OTHERS
13. Dietary Requirement
14. Special Needs
15. T-Shirt Size (Please refer to the chart below)
T-Shirt Size
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