CHALLENGES TREASURE HUNT 2017 REGISTRATION FORM
Event Information:

Event Name: Challenges Treasure Hunt 2017
Date of Event: 26 February 2017 (Sunday)
Venue: Brickfields Asia College (Petaling Jaya Campus)


REGISTRATION FEES : RM 500.00 PER TEAM (4 persons)


Secretariat Information:

Challenges Foundation

Address: Room 7, Level 1, Bangunan SECITA, 4A, Jalan SS5D/6, Kelana Jaya, 47301, Petaling Jaya, Selangor
Office Hour : 8:30 am - 5:00 pm (Mon - Fri) | 8:30 am - 1:00 pm (Sat)
Tel / Fax : 03 7887 5747
Email : challengestreasurehunt@gmail.com

TEAM LEADER
1ST PARTICIPANT
Name *
Your answer
I.C Number / Passport Number *
Your answer
Email Address (For event confirmation & future event communication) *
Your answer
Mobile Number *
Your answer
Telephone Number (Home) *
Your answer
Organisation / Home Address *
Your answer
Gender *
Nationality *
Your answer
EMERGENCY CONTACT
Name *
Your answer
Relationship *
Your answer
Telephone Number *
Your answer
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