A) Dpulze 学生个人赛
Day 1: 28 Oct 2017 (Saturday) 9am –1pm
Name (in Chinese) 中文姓名 *
Your answer
Name (in English) 英文姓名 *
Your answer
Gender 性别 *
DOB 出生日期 *
MM
/
DD
/
YYYY
H/P Number 手机联络 *
e.g. 017-6912939
Your answer
Guardian Name (in English) 监护人英文姓名 *
Your answer
Email 电邮 *
Your answer
School 学校 *
e.g. 甲洞二校
Your answer
Category 组别 (请选) *
Payment record 付款资料 (汇款时记得填写孩子姓名,方便检查) *
RM25/人(14 Oct 2017 之前报名则RM20/人)Please fill up (Trace No./Date/Bank/Amount) & whatsapp bank slip to 012-2021585 银行转账:请填写(收条编号/日期/银行/总额) & whatsapp 收据 to 012-2021585,汇款时请填写孩子姓名
Your answer
Residential Address 住家地址 *
Your answer
Residential Area 居住地区 *
*
Required
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