Traditional Gongbi (Meticulous) Ink Painting 水墨画工笔绘画班
Please complete the form and submit to Extra-Mural Studies Department of MIA Enterprise Sdn. Bhd. Early registration is recommended to avoid disappointment.
请填写以下信息,并将表格并提交给Extra-Mural Studies Department。建议您提早注册避免失望。

Tuition fee 学费: RM 500.00
Materials fee 材料费: RM 80.00
Venue 地点: MIA City Campus, No. 70 Jalan Ampang, 50450 Kuala Lumpur. (near Dang Wangi LRT Station Dang Wangi 捷运站附近)

Email address *
Title 称谓 *
Full Name (as in NRIC / Passport) 姓名(根据身份证件/护照证件) *
Your answer
NRIC / Passport No.身份证/护照号码 *
Your answer
Address 通讯地址 *
Your answer
Contact No.联络电话 *
Your answer
Nationality国籍 *
Your answer
Occupation职业 *
Your answer
Emergency Contact Person紧急联络人 *
In case of emergency, we need to contact your family or friend. Please suggest. 如遇上紧急事故,我们或需联络你的家人或朋友,请提供联络人资料。
Your answer
Emergency Contact No 紧急联络电话 *
Your answer
Commencing Date & Time 上课时间 *
MIA Affiliation MIA隶属关系 *
If you are MIA Staff or Student, please provide your staff ID or student ID. 如果您是MIA员工或学生,请提供您的员工或学生证号码。
Your answer
If you are MIA Alumni, what course you studied in MIA?如果您是MIA校友,您在MIA修读什么课程?
I would like to make payment through 我想通过以下什么方式付款 *
Please refer to the payment methods below the form.请参阅表格下方的付款方式。
How did you hear about us?如何获知本部课程? *
Remark (if any) 备注(如果有的话)
Your answer
General Privacy Statement 隐私声明
The information collected on this form is to assess your application for entry onto a course at MIA Enterprise Sdn. Bhd.. It is also used to create an enrolment record for the Enterprise database, prepare statistical analysis and to inform you about your programme and other workshops and/or events. The information is processed in accordance with Personal Data Protection (PDP) Act 2010. Please visit

申请人提供的个人资料(包括姓名、联络方法及其他资料)将用作与该部门沟通渠道及数据分析等,我们将透过电子邮件、流动电话和其他社交媒体等为申请人或学员送上本部门的最新课程资料及推广讯息,这些资讯亦将包括活动、展览及其他活动等。本部门所收集的信息将根据马来西亚2010年个人数据保护法案(PDP)进行处理。详情请参阅 (只提供英文版本) 。

Payment Methods付款方式
1. Cash 现金:
Pay to Extra-Mural Studies Department of MIA Enterprise Sdn. Bhd. or cash deposit at MIA Enterprise Sdn. Bhd. CIMB bank account no.: 8600492275 or Public Bank account no. : 3098829336.
支付给MIA Enterprise Sdn. Bhd. 的校外进修部或现金存款到MIA Enterprise Sdn. Bhd. 的 CIMB 银行账号:8600492275或 Public Bank 银行账号:3098829336。

2. Cheque 支票:
Cheque to be issued to "MIA ENTERPRISE SDN. BHD.". Pay to Extra-Mural Studies Department of MIA Enterprise Sdn. Bhd.
如以划线支票或银行本票付款,请在支票收款人填上“MIA ENTERPRISE SDN.BHD.” ,然后将该支票交给校外进修部。

3. Interbank Transfer 银行汇款
Interbank transfer to MIA Enterprise Sdn. Bhd - CIMB bank account no.: 8600492275 or Public Bank account no. : 3098829336.请汇款至"MIA Enterprise Sdn. Bhd." 的 CIMB 银行账号:8600492275 或 Public Bank 银行账号:3098829336。

Important 重要事项:
Please submit the original bank-in slip / receipt to Extra-Mural Studies Department of MIA Enterprise Sdn. Bhd..
Email to us the bank-in or transfer slip at
Please indicate the participant's name and name of programme when you submit the slip.


Terms & Conditions相关条规与条件
1. Registration is based on first-come, first-served basis. Confirmation based on receipt of programme fee.

2. All registrations MUST be accompanied with payment. 报名表格必需连同学费一併缴付。

3. Payment must be received at least 3 working days prior to the date of programme. 学费必需在开课前七天缴清。

4. Fees paid are not refundable. No cancellation of registration is allowed but a replacement will be acceptable.

5. Personal data collected will be protected in accordance to Personal Data Protection Act 2010. 我们将依照2010年个人资料保护法保管您的个人资料。

6. The Enterprise reserves the right to make ant amendments and/or changes the programme if warranted by circumstances beyond its control. The Enterprise also reserves the right to cancel the programme if the number of participants is not sufficient. However, the Enterprise shall notify the participant 3 days prior to the programme for any changes. The fees paid will be fully refunded if the Enterprise cancels the programme.

I have read and understand the terms and conditions above. 本人已细阅、明白并同意以上注意事项、收集个人资料声明及有关校外进部在处理个人资料(私隐)的守则。 *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service