BASE MODEL WORKSHOP REGISTRATION FORM
MODEL WORKSHOP CODE: BWS01
WORKSHOP / EVENT DATE: 1st OCTOBER 2017 (SUNDAY)
WORKSHOP / EVENT TIME: 2.00pm - 7.00pm
ADMISSION FEE: MYR 400.00
Full Name *
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Preferred Name
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Gender *
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Race *
Nationality *
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Date of Birth *
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Email *
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Address *
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Contact number *
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Payment method / details
Upon registration, full payment is required before 20th September 2017. Payment can be made via online transfer.

Bank details:
Name of Bank: Maybank
Account name: Base Model Management
Account number: 512763106286

Kindly notify us once payment made by whatsapp bank slip/payment prove and your full name to +60192826640

I have make full payment amount MYR400
General Terms and Condition
1) Payment is non-refundable unless cancellation is made before 20 September 2017.
2) Enrolment is non-transferrable.
3) BASE Model reserves the right to amend these T&C at any time. Any matter not specified here shall be determined by BASE Model.
4) BASE Model may cancel or reject any enrolment without any reason.
5) Participations are entirely at your own risk. You shall not hold Base Model liable for any damage.
I have read and understand the enrolment Terms and Conditions as stated above. *
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