Pertandingan Sains, Inovasi & Rekacipta Kenderaan Elektrik Amfibia 2012
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Event *
Kindly select the event appropriately
Payment Details
You can only proceed to register online after you had made the payment via bank-in / online banking.
Payment shall be made to:
NAME    : MYROBOTZ ENTERPRISE
A/C NO.: 5123 6116 2860
BANK    : MAYBANK  

Email the scanned transaction slip (or screen capture of the online confirmation) as proof of payment to secretariat@myrobotz.com.my & we will confirm the payment via sms within 3 working days.

In the email, please key in your TEAM NAME. Choose a short name to represent your team's name. __NOT MORE THAN 5 LETTERS__ eg: UTN01 is acceptable, but UNITEN01 is NOT!!
Category *
Team Name *
Your team name will only be appeared after the payment is verified by the organizer. (Refer to Payment Details Section) - Kindly rename your team name if it had already appeared in the list below as it belongs to other team.
Payment Method *
Team Details
Team Name *
Team name must be the same as selected in the "Payment Details" section. Choose a short name to represent your team's name. __NOT MORE THAN 5 LETTERS__ eg: UTN01 is acceptable, but UNITEN01 is NOT!!
Name of School/College/University/Individual/Organization *
Example: Universiti Tenaga Nasional
Instructor's Details
Address of School/College/University/Individual/Organization *
Full address
Contact Number *
Example: 012-3456789
Name *
Instructor must be a teacher / lecturer / parents
Email Address *
Please provide a frequent used email address
I/C Number *
Example: 000000-00-0000
Member 1 Details
Member 1 Name *
Full name
Contact Number *
Example: 012-3456789
I/C Number *
Example: 000000-00-0000
Email Address *
Please provide a frequent used email address
Member 2 Details
Member 2 Name
Full name
I/C Number
Example: 000000-00-0000
Member 3 Details
Member 3 Name
Full name
I/C Number
Example: 000000-00-0000
Acknowledgement
I hereby declare that I have been given the rights from the proper authority to register this team. I also acknowledge that by submitting this form, I bound myself & the team to the rules & regulations of Amphibious Electric Vehicle Competition set by the organizers. I also declare that all the information given in this form is true as far as I know. *
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