Registration for Mobile Phone Classes

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete the payment within 3 days upon registration as our class can only cater to 15 pax.
We are running on a first come first serve basis.

Bank Account Number: 8009509623 (CIMB Bank)
Bank Account Holder: Active 60 Services Sdn. Bhd.
Please email the transaction proof to activesixty@gmail.com

Participant Name

Participant Phone Number

Participant Age

Which classes will participant take part in?

Basic Class 1: Basic Phone Functionality

Basic Class 2: Whatsapp

Basic Class 3: Email

Basic Class 4: Google Chrome

All 4 Basic Classes (RM100 for all 4 classes instead of RM30 for each class)

Intermediate Class 1: Facebook

Intermediate Class 2: Instagram

Intermediate Class 3: Youtube

Intermediate Class 4: News and Music

All 4 Intermediate Classes (RM100 for all 4 classes instead of RM30 for each class)

If the person who fill up this form is not the participant, please leave us your contact details so we can get in touch with you (Name, Phone number and Email)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms