UTHM GREEN RIBBON RUN 2019 PENDAFTARAN/REGISTRATION
Green Ribbon is the international symbol for mental health awareness to support good mental health for all.
Graduate Student Association UTHM (GSA) in collaboration with Pusat Kaunseling Universiti UTHM (PCU) is organizing Green Ribbon Run 2019 to raise the awareness towards mental health illness within students (undergraduate and postgraduate), labors, educators and all.

Tarikh/Date: 27th September 2019
Masa/Time: 7.00 AM
Tempat/Address: Dewan Tunku Mahkota Ismail (DTMI), UTHM


Nota/Notes: Trek larian akan diberitahu ketika hari program.
Tarikh kutipan racekit/baju tshirt larian akan disebarkan melalui Whatsapp & Facebook.

Route will be disclosed on the day of event.
RaceKit collection date will be shared via our Facebook page & Whatsapp.


Harga/Price :
RM 40 (Pelajar/Student)
RM 50 (Orang Awam/Non-Student/Public)

Bayaran boleh di buat melalui Deposit Tunai atau Pembayaran Atas Talian kepada akaun:
The payment can be done via Cash Deposit or Online Transfer to :
Bank Muamalat (01070000446715) IEEE UTHM STUDENT BRANCH.

Tolong sertakan kata rujukan "GRRUN2019" sekiranya menggunakan cara Pembayaran Atas Talian.
Please put "GRRUN2019" as the reference if using Online Transfer payment method.

Selepas membuat pembayaran, sila hantarkan resit pembayaran (gambar/fail PDF) kepada 017-9980856 (Ehsan) atau 013-7365226 (Fadilla). After making the payment, please send your payment receipt (picture/screenshot of receipt or PDF receipt) to 017-9980856 (Ehsan) or 013-7365226 (Fadilla)


Untuk sebarang pertanyaan, boleh hubungi kami di 017-9980856 (Ehsan) and 013-7365226 (Fadilla)
Any inquiries, kindly reach us on 017-9980856 (Ehsan) and 013-7365226 (Fadilla)

DESAIN TSHIRT/TSHIRT DESIGN
DESAIN MEDAL/MEDAL DESIGN
NAMA PENUH/FULL NAME *
Seperti di dalam Kad Pengenalan/ As in NRIC.
Your answer
NO KAD PENGENALAN/NRIC/PASSPORT NO *
Seperti di dalam Kad Pengenalan atas Passport/ As in NRIC (eg. 123456780000).
Your answer
EMAIL *
Tolong pastikan emel anda betul kerana E-sijil akan diedarkan melalui email masing-masing/ Please make sure your email is correct as E-certificate will be given through your email.
Your answer
NO TELEFON/PHONE NO *
Tolong pastikan no telefon anda betul kerana makluman lanjut (kutipan racekit dan trek larian) akan disebarkan melalui Whatsapp/ Please make sure your phone number is correct as details (route and racekit collection) will be informed through Whatsapp (eg: 0123456789).
Your answer
SAIZ TSHIRT/TSHIRT SIZE *
Captionless Image
KATEGORI/CATEGORY *
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