Section 1 of 1
MJIC 2026 CONFERENCE REGISTRATION
This form is automatically collecting emails from all respondents.Change settings
Full Name of Participant with Salutation (example: Datuk/Dato'/Datin/Prof./Dr.)
Full Name of Participant with Salutation (example: Datuk/Dato'/Datin/Prof./Dr.)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Phone Number
Phone Number
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
List of Authors
List of Authors
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Affiliation Addresses
Affiliation Addresses
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Country
Country
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Title of Extended Abstract
Title of Extended Abstract
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Domain
Domain
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Fundamental & Advanced Materials
Nanotechnology For Energy & Sustainability
Nanomedicine & Health Applications
Nanotechnology in Devices & Smart Materials
Smart & Sustainable Agriculture through Nanotechnology
Artificial Intelligence in Nanoscience & Nanoengineering
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Name of Presenter (if you are not attending the conference)
Name of Presenter (if you are not attending the conference)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Please Indicate Your Attention Below
Please Indicate Your Attention Below
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
1.
Oral Presentation
2.
Poster Presentation
3.
Non-Presenting Participant
4.
Add option
…
Answer key
(0 points)
Loading...
Conference Registration Fees
Conference Registration Fees
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Local - Student (Normal) : RM 1000
Local - Student (Non-Presenting Participant) : RM 550
Local - Researcher/Industry (Normal) : RM 1100
Local - Researcher/Industry (Non-Presenting Participant) : RM 600
International - Student (Normal) : USD 240
International - Student (Non-Presenting Participant) : USD 140
International - Researcher/Industry (Normal) : USD 260
International - Researcher/Industry (Non-Presenting Participant) : USD 160
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Extended Abstract Submission
Extended Abstract Submission
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Add file
View folder
Allow only specific file types
Maximum number of files
1
5
10
Maximum file size
1 MB
10 MB
100 MB
1 GB
10 GB
View folder
Answer key
(0 points)
Loading...
Do You Have Any Restriction or Preference?
Do You Have Any Restriction or Preference?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
No Restrictions
Vegetarian
Vegan
Other…
Add option
…
Answer key
(0 points)
Loading...
Are You Interested to Join Our City Tour in Negeri Sembilan?
Are You Interested to Join Our City Tour in Negeri Sembilan?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Link to Sheets
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions