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 *
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