rero Jr Facilitator Training Camp Register of Interest
Date : 15th December 2018 (Saturday)
Time : 9.00am - 5.30pm
Venue : Asia Pacific University (APU), Bukit Jalil
Fees: RM50/pax (tshirt, lunch and cert)

Requirements:
- Aged 15 and above.
- Permission from your parents.
- Bring own laptop and extension cable.
- Participated in rero competition(s) OR shared a project on rero eLearning portal before.

Email address *
Full Name *
Please check your spelling. This will be printed on your certificate.
Your answer
IC Number *
For certification purpose. Please follow this format, e.g. 130525-07-5434
Your answer
Contact Number *
Your answer
Tshirt Size *
School / Training Centre Name *
Your answer
You're from which state? *
Do you fulfill all the requirements? *
Required
List down rero competition(s) that you have participated in.
E.g. RAC'18 National Level, rero-lution Online Competition 2017, etc
Your answer
Have you shared a project on rero eLearning portal? If yes, please provide the URL link.
Your answer
Teacher/Parent/Guardian's Name *
Your answer
Teacher/Parent/Guardian's Contact Number *
Your answer
Remarks:
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service