2018年神墨杯(数学组)报名表格
比赛日期:10 June 2018
比赛地点:Setia City Convention Centre

本人填写此报名表格,表示同意允许孩子参加以下竞赛,并且深切明了承办当局已清楚地指示一切,且采取一般安全措施。倘若在比赛当日发生任何意外/受伤事故,本人决不归咎于承办当局,本人亦授权于承办当局给予所须之急救。

Email address *
家长姓名(Name) *
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紧急电话号码 (Tel:) (i.e. 0162602991) *
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学生英文姓名(Student Name) *
Your answer
学生中文姓名
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学校名字(School Name) (i.e. SJK(C) CHONG HWA) *
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班级 (class) *
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州属(State) *
学生身份证号码(IC No.) (i.e. 123456789101) *
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学生性别(Sex) *
组别 (Group) *
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报名选项 *
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MiMAS金奖优胜者 (非金奖优胜者勿填)
衣服尺寸 (Size) *
缴付证明或转账记录请拍照后邮寄到以下电邮地址才算完成报名
如有任何疑问,请致电 0162602982 (陈老师) / 0162602991 (周老师)
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