IMDC 2019 Registration
Email address *
Team Details
1st member *
Full name as per IC/passport
1st member email *
1st member mobile phone *
Eg. 60123456789
1st member IC/passport no. *
1st member mailing address *
2nd member
Full name as per IC/passport
2nd member email
2nd member mobile phone
Eg. 60123456789
2nd member IC/passport no.
3rd member
Full name as per IC/passport
3rd member email
3rd member mobile phone
Eg. 60123456789
3rd member IC/passport no.
University *
Other university not listed above
Faculty/school *
Supervisor *
Full name with title, eg. Prof Dr Ali bin Abu
Supervisor phone no. *
Eg. 60123456789
Supervisor email *
2nd supervisor
If applicable. Full name with title, eg. Prof Dr Ali bin Abu
2nd supervisor phone no.
Eg. 60123456789
2nd supervisor email
Competition project
Teams can choose one technology track and/or one Design Challenge to participate.
Technology track *
Design Challenge *
Project title *
Team Declaration
I/We understand the competition guidelines described in the website and agree to abide by them.

I/We agree to pay non-refundable entry fee of RM100 per member upon successful enrollment into the competition.

I/We understand that the competition organizer is under no obligations to exercise any or all of the rights, licenses, and privileges herein granted.

Participant hereby releases and discharges the competition organizer and the sponsors from any and all liability arising out of participation in the competition.

I/We agree that any work submitted as part of my/our participation in this competition will be the original work of the participant(s) named herein.

I/We confirm that the supervisor named above has agreed my/our participation in the competition and agreed to take up the supervisor role.

I/We allow my personal information to be shared with any organizer’s subsidiary worldwide, or with authorized third parties for competition purposes.

I/We have read and agreed to the provisions of the following Participant Release (

You must agree with the conditions above by checking the box before submitting your registration. If your team could not comply to one or more of the above conditions, please state clearly below. The organizer will review your competition entry on case by case basis.
Proposal Submission
You may register your team first and submit the proposal before the deadline by revisiting this form.
Proposal Upload
A copy of your responses will be emailed to the address you provided.
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