VIP REGISTRATION FORM SIGN LANGUAGE 2.0

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Hi, this is VIPs registration form for Sign Language Workshop 2.0 in conjunction with International Day of Sign Languages.

The tentative are:
📅DATE: 18/12/2021 (SATURDAY)
⏱TIME: 9.00 AM-12.00 PM
📲PLATFORM: ZOOM AND YOUTUBE LIVE

Kindly insert your information correctly especially your name and number matric for e-certificate use. Thank you for your cooperation :)

Email *

Participated as *

IIUM Students

IIUM Alumni

IIUM Staff

CFS IIUM

UiTM Cawangan Perak Kampus Tapah

Anjung Melayu IIUM Pagoh

Academic and Debate Club Academic Law School in UUM

Persatuan Pelajar Islam Selangor (PEPIAS)

Pertubuhan Generasi Penerus Harapan Ummah (BudiCare)

Universiti Kebangsaan Malaysia (UKM)

IPGM Kampus Ilmu Khas

IPGM Kampus Tuanku Bainun

IPGM Kampus Bahasa Melayu

Other:

Full Name *

Matric no./ Student ID (all participants) *for non-student, kindly put (-) *

I/C number *

Nationality *

MALAYSIAN

NON-MALAYSIAN

Campus Location (IIUM only)

Pagoh

Gombak

Kuantan

Gambang

Non-IIUM

Clear selection

Kulliyyah (IIUM only) *

KLM

Other:

Thank you for your registration!

Together Leading Towards A Better Mahallah
Mahallah Representative Committee
Mahallah Zaid bin Harithah 20/21
International Islamic University Malaysia
Pagoh Campus

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