OFFICIAL REGISTRATION FORM : International Seminar, Scrabble and Chess Olympiad (ISSCO) in ASEAN Youth Camp MALAYSIA 2019
Please fill in the form for EACH participant.
Click https://goo.gl/7quRu6 to check your registration status.

Please visit https://www.sciencejohor.com and https://www.aeisa.org for more information an inquiries.
Your early response much appreciated

First and foremost, Please fill in Teacher's Email address below, and we will send the copy of Registration form for your perusals.
Email address *
1.0 Nationality *
2.0 School's / Institution's Name *
Your answer
2.1 School Phone Number
Your answer
2.2 School's email address *
Your answer
2.3 School's website / portal *
Your answer
3.0 Position *
4.0 Male @ Female *
5.0 Participant's Passport Number *
Your answer
5.1 Full Name and same as stated in Passport *
Your answer
5.2 Passport Expiration Date *
MM
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DD
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6.0 My general state of health is: *
6.1 Special Dietary *
6.1.1 If YES, Please provide details
Your answer
6.2 My level of fitness is : *
6.3 Are you taking medication ? *
6.3.1 If YES, please specify :
Your answer
6.4 Have you been hospitalized in the past 12 months ? *
6.4.1 If YES, please provide details :
Your answer
6.5 Do you suffered from any of following condition or disorders? *
Required
7.0 Declaration and consent *
Required
7.1 Declaration and Indemnity Form *
Required
7.2 Medical and Emergency Information *
Required
7.3 Medical and Emergency Information *
Required
7.4 Medical Expenses and Reimbursement *
Required
8.0 Arriving Airport *
8.1 Date and Time of Arrival *
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Time
:
8.2 Departing Airport *
8.3 Date and Time of Departure *
MM
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DD
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YYYY
Time
:
9.0 Payment reference number (Telegraphic Transfer Receipt) *
Your answer
9.1 Date of Payment *
MM
/
DD
/
YYYY
Time
:
10.1 Shirt design *
10.2 Shirt Size
A copy of your responses will be emailed to the address you provided.
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