2017 Semiconductor & Optoelectronics Cluster Bootcamp
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Full Name (as per IC/passport)
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University (i.e. University Sains Malaysia)
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Discipline of Study (i.e. Degree in Electrical Engineering)
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Year of Study (as of 1st June 2017)
Email (all communications will be send to this e-mail)
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Mobile Number (preferable with WhatsApp access)
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Alternate Mobile Number
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Identification Card/Passport Number (to be used for security clearance during industry visit)
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Gender
Hometown (i.e. Kedah)
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Phase 1: Cluster Bootcamp (10th till 13th August 2017)
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Which kind of training would you be interested in? (note: allocation of training will be subjected to the organiser's discretion)
Do you require accommodation during the workshop? (the accommodation provided will be at a university hostel)
Do you require bus transportation from Kuala Lumpur? (bus transport from KL are prioritise for participants whose hometown are from Klang Valley/Southern/East Coast)
Will you be utilizing your own transport for industry visits? (bus transport is provided for the industry visit but you may choose to use your own transport)
If your answer is YES, please provide your vehicle plate number for security clearance.
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Are you a vegetarian?
Are you allergic to any type of food?
If your answer is YES, please specify the type of food.
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Phase 2: Lab Visit & Training
The Lab Visit & Training will be organised after the Cluster Bootcamp at 4 university research labs between 14th till 25th August 2017. You are required to choose only 1 Lab Visit and Training based on your interest and availability. Kindly take note that you will be required to make your own travel arrangements to your selected lab venue on the specified training dates. We will only be providing transportation from Penang for UniMAP's lab visit & training on 14th August. If there are empty seats available after registration deadline, you may apply to attend more than one lab visit & training.
Please select one of the following options for your lab visit and training:
Additional Remarks
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Thank you for your support of Collaborative Research in Engineering, Science & Technology (“CREST”). We would like to keep your Personal Data as a means of communication in order to continue the provision of our services and to provide you with details of our latest events and happenings and as part of our ongoing efforts to connect and promote the electrical and electronics industry, to store your personal data as part of our database in respect of potential matching opportunities to companies and individuals in research, talent pipeline and hiring, and referrals on expertise to companies partnering with CREST in various collaboration projects and other relevant communications as described in greater detail below. In order for us to do so, we kindly ask you to indicate your agreement and consent to all of the above.
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