BORANG PENDAFTARAN/ REGISTRATION FORM CAT'17
Pendaftaran adalah sah apabila bukti pembayaran yuran disertakan.
(Registration is valid when proof of payment for the fees is provided)

Account Name : CAKNE
Account No. : Maybank 562834626537

Sekiranya anda mempunyai masalah untuk membuat pendaftaran online ini sila hubungi AJK berikut:
(if you face any problem in using this online form, please contact the following committee members)
1. Mimi : 010-234 5673
2. Zul : 012-2943911

Logo CAT'17
NAMA PENUH
Full name
NO KAD PENGENALAN ATAU NO PASPOT
NRIC or passport no
NO TELEFON BIMBIT
Mobile phone no
E-MAIL
ALAMAT 1 (ADDRESS 1)
Eg. No. 15, Jalan Baiduri 5/2
ALAMAT 2 (ADDRESS 2)
Eg. Taman Baiduri Jaya
BANDAR (CITY)
Eg. Petaling Jaya
POSTCODE
NEGERI (STATE)
SAIZ T. SHIRT
T. Shirt size
Required
YURAN PENDAFTARAN (RM 80) & SUMBANGAN (sekiranya ada)
Registration Fee (RM80) & donation (if any) to Acc Name : CAKNE Acc No. - Maybank 562834626537
BUKTI PEMBAYARAN
Sila muat naik salinan dokumen pemindahan wang yang telah dibuat ke akaun CAKNE. (Please upload copy of the payment transfer document to CAKNE's account)
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