Borang Pendaftaran SKSM24 (SKSM24 Registration Form)
Sila isi semua maklumat berkaitan dan hantarlkan bukti pembayaran ke (Please complete all the information and send proof of payment to) : sekretariatsksm24@umt.edu.my atau (or) Sekretariat SKSM24,Pusat Pengajian Informatik & Matematik Gunaan,Universiti Malaysia Terengganu,21030 Kuala Terengganu, Terengganu.Fax : +6 09 6683326
Panggilan (Title):
Prof/Dato'/Datin/Prof. Madya/Dr./En./Puan/Cik
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Nama Penuh (Full Name) :
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ID:
Diberi semasa penghantaran abstrak, jika mendaftar sebagai PESERTA sahaja, kosongkan ruangan ini (Given with the abstract submission, if register as PARTICIPANT only, leave blank)
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Mod Pembentangan (Presentation Mode):
Nama Organisasi (Organisation Name):
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Alamat Organisasi (Organisation Address):
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Poskod (Postcode):
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Bandar (City):
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Negeri (State):
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Email:
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No. Tel:
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Jumlah Yuran (Total Fee):
Sila kemukakan bukti pembayaran dan emel ke (Please submit your proof of payment and email to) : sekretariatsksm24@umt.edu.my atau poskan (or send to) : Sekretariat SKSM24,Pusat Pengajian Informatik & Matematik Gunaan,Universiti Malaysia Terengganu,21030 Kuala Terengganu, Terengganu.Fax : +6 09 6683326
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No. Rujukan Pembayaran, jika ada (Payment Reference No., if any):
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Sila nyatakan samada anda akan hadir ke (Please indicate if you plan to attend) Majlis Anugerah PERSAMA dan Makan Malam SKSM24 :
Sila nyatakan samada anda akan mengikuti 'excursion' ke Pasar Payang, Muzium Negeri dan Taman Tamadun Islam pada 29/9/2016 (Please indicate if you plan to join excursion to Pasar Payang, Muzium Negeri and Taman Tamadun Islam on 29/9/2016) :
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