PSA Box Challenge Registration Form
Thank you for the interest.
Please fill up the form to register for the PSA BOX Challenge
--- Main Contact Detail ---
Team Name *
Your answer
No. of Member *
School *
Port Tour Dates
Timing for different days: Wed (2:30pm - 4:45pm), Sat (9.00am - 11.15am). Highly Recommended for teams joining. Form to be filled with passport size photo (softcopy) will be sent to you
Port Tour Remarks
Your answer
--- Member 1 ---
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Contact Number *
Your answer
NRIC *
Last Four digits will suffice. E.g. 192A
Your answer
Faculty *
Eg. School of Computing
Your answer
--- Member 2 ---
First Name
Your answer
Last Name
Your answer
NRIC
Last Four digits will suffice. E.g. 192A
Your answer
Faculty
Your answer
--- Member 3 ---
First Name
Your answer
Last Name
Your answer
NRIC
Last Four digits will suffice. E.g. 192A
Your answer
Faculty
Your answer
--- Member 4 ---
First Name
Your answer
Last Name
Your answer
NRIC
Last Four digits will suffice. E.g. 192A
Your answer
Faculty
Your answer
--- Member 5 ---
First Name
Your answer
Last Name
Your answer
NRIC
Last Four digits will suffice. E.g. 192A
Your answer
Faculty
Your answer
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