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Borang Penyertaan RSSR
TARIKH : 29-31 Julai 2013
LOKASI : Nur Lembah Pangsun, Selangor Darul Ehsan.
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Tahun Pengajian
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Nama Peserta
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Jantina
Lelaki
Perempuan
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Alamat tempat tinggal (Malaysia)
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Contact number (Malaysia)
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Lokaliti
(Universiti)
Moscow - M1
Moscow -M2
Moscow -MAI
Volgograd -VSMU
Nizhny Novgorod -NNSMA
Kursk -KSMU
St Petersburg
Lain2
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Kenderaan yang bakal digunakan untuk ke tempat program?
(Bas, kapal terbang, kenderaan sendiri)
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Adakah anda memerlukan kenderaan dari lapangan terbang/ stesen bas/ keretapi untuk ke tempat program? Jika ya, sila nyatakan TARIKH dan MASA.
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Tempahan baju rasmi RSSR. Nyatakan saiz anda.
S
M
L
XL
XXL
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Masalah kesihatan. Jika ada, sila nyatakan.
(Asthma, gastritis, etc)
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Adakah anda mempunyai sebarang ALLERGY terhadap makanan? Jika ada, sila nyatakan.
(Eg : allergy terhadap seafood)
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Survey : Tarikh praktikal anda, jika ada.
( Eg : 7 Julai - 26 Julai)
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Pertanyaan dan kemusykilan. Jika ada, sila nyatakan.
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