INFORMATION RESOURCE CENTRE
INFORMATION LITERACY REGISTRATION FORM
NAME
Your answer
MATRIX NO.
e.g: 24761
Your answer
PROGRAM
E-MAIL ADDRESS
*Please use your UTP email (abc@utp.edu.my)
Your answer
GENDER
PERMANENT ADDRESS
Your answer
BIRTH DATE
MM
/
DD
/
YYYY
IC NO.
e.g: 123456-00-000
Your answer
HAND PHONE NO.
e.g: 012-345678
Your answer
TRAINER
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms