Youth Nature Camp 2017
Pre- Registration Form


YES I Would like to join the camp :)


Thank you for your interest to join the camp. The camp will be held at Pulau Tinggi ,Johor. Please fill up the details and you will be sent an email shortly. Transportation is only provided from KL Sentral, Kuala Lumpur at 7.00 am on 6/4/2017. PLEASE CHECK YOUR EMAIL FOR CONFIRMATION and future notifications.

Untitled Title
Full Name (According to I/C or Passport )
Your answer
I/C Number or Passport Number
Your answer
Gender
Student ID (Matric Card Number)
Your answer
Age
Your answer
Institution
Your answer
E-mail Address
Your answer
Hand phone Number
Your answer
Home Address
Your answer
T-Shirt Size
Emergency Contact (HP No and Relationship Status)
Your answer
Food Preferences and Allergy (i.e no meat , vegetarian, allergic to seafood and etc) State NO if not applicable
Your answer
Are you an MNS Member?
MNS/KPAY Membership Number
Your answer
Submit
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