MASC 2014 Registration Form
Please fill in the form below with CAPITAL LETTERS and kindly read through the RULES & REGULATIONS OF MASC 2014. Click "SUBMIT" after that. Thank you for your cooperation.


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GENERAL INFORMATION
Name *
Identity Card No. / Passport No. *
Gender *
Contact Number (Home)
Contact Number (Mobile) *
Permanent Address *
Date of Birth *
Age *
Course *
University/College *
PLEASE WRITE IN FULL (eg : UNIVERSITY OF MALAYA)
Year of Study *
Student Card Number *
Email Address *
Mailing Address *
Facebook Name *
T-shirt size *
Preferred name in MASC name tag. *
EMERGENCY CONTACT
Name of Guardian *
First person
Contact Number of Guardian *
First person
Name of Guardian
Second person
Contact Number of Guardian
Second person
ADDITIONAL INFORMATION
Are you interested to be a DEBATER on the third day of MASC 2014? *
Do you prefer vegetarian meals? *
Please state if you have special requirement for vegetarian meals.
(eg : I am  vegetarian only on Tuesdays)
Please state if you have any allergies to any types of food.
Do you need accommodation on 10th of February 2014 (Monday)? *
Participants from far are encouraged to reach UM one day earlier (10th of February 2014 ). Registration starts at 8am-10am (11th of February 2014).
Transport used to reach UM. *
You are not encouraged to bring your own transportation.
SURVEY
How did you know about MASC 2014? *
You may choose more than one answer.
Required
What attracted you to join MASC 2014? *
You may choose more than one answer.
Required
What is your expectation towards MASC 2014? *
Please rate from 1-5 ( 5 is the highest rate)
IMPORTANT NOTICE
Thanks for your registration.
After submitting your registration form, kindly proceed to your registration payment (RM60) via cash deposit machine or online banking BEFORE 16 December 2013.
For further details of payment, kindly refer to the BLOG.

A confirmation email will be sent within 5 days once payment has been received.

*FAILURE to make payment BEFORE 16 December 2013 will result in loss of securing a place.  

For any enquiries, please do not hesitate to drop us emails at masc2014publicity@gmail.com or call us at 012-5205938 (Ms. Natelie Saw) / 011-18518773  (Ms. Chai Hwei Yin)
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