RAC'19 International Level RERO Robotics and Coding Competition (Registration Form)
Date: 1st - 3rd November 2019
Time: 9.00 am - 5.00 pm
Venue: Mines International Exhibition and Convention Centre (MIECC), Selangor, Malaysia.
Email address *
Name of School/Centre/Organisation and Country that you're representing. *
E.g. Fairview International School, Singapore
Parent / Teacher / Officer-in-Charge *
Identification Number (Passport or NRIC) *
Contact Number *
Email Address *
Team Name *
Robot Game / Category *
Member 1 (Full Name) *
Member 1 (Identification Number NRIC or Passport) *
Member 1 (Email Address) *
Member 1 (Contact Number) *
Member 2 (Full Name) *
Member 2 (Identification Number NRIC or Passport) *
Member 2 (Email Address) *
Member 2 (Contact Number) *
Member 3 (Full Name)
Member 3 (Identification Number NRIC or Passport)
Member 3 (Email Address)
Member 3 (Contact Number)
Registration fee is RM200 per team. Please bank in to the following account.
Bank Details
Bank Name : Maybank
Account Name : rero Edu Sdn Bhd
Account Number : 557326-058517
Please attach your bank slip as proof of payment. Registration fee is RM200 per team. *
Required
Do you need an official invoice/receipt? *
Please indicate and collect from the registration counter on the day of the competition.
Remarks
*IMPORTANT NOTE: We will send a confirmation of your registration to your email after registration closes on 1st October 2019. For any enquiries regarding the competition, you may contact Cheryl at +6016-3290069 or email to cheryl@cytron.io.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service