South East Asia Combat Robot Competition 2013 Registration

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This is a full registration for South East Asia Combat Robot Competition 2013. Only 32 teams are allow to take part in this competition. Kindly make the payment before 31 May 2013.

Part A: Team Details

Category *

Please choose a category

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!!

Name of university/college/institution *

Example: Universiti Tenaga Nasional

Country *

Please choose a country that your university/college/institution is representing

Mailing Address *

Please provide a valid mailing address for certificate delivery purposes

Part B: Instructor's Details

Name *

Instructor must be an adult

Mobile Contact Number *

Email Address *

Please provide a frequent used email address

Passport Number *

Part C: Team Member 1 Details

Member 1 Name *

Mobile Contact Number *

Passport Number *

Email Address (optional)

Please provide a frequent used email address

Part D: Team Member 2 Details

Member 2 Name *

Mobile Contact Number *

Passport Number *

Email Address (optional)

Please provide a frequent used email address

Part E: Team Member 3 Details

Member 3 Name *

Mobile Contact Number *

Passport Number *

Email Address (optional)

Please provide a frequent used email address

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 South East Asia Combat Robot Competition 2013 set by the organizers. I also declare that all the information given in this form is true as far as I know. *

I Agree

Required

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