Seminar Presenter and Scrabble+Chess Players for ISSCO in ASEAN Youth Camp Malaysia 2019
Please fill in ONE(1) the form for EACH school.

Please visit https://www.sciencejohor.com and https://www.aeisa.org for more information an inquiries.
Your early response is much appreciated

Maximum Number of participants :
ASEAN : Two(2) person per event per school
SBP : One(1) person per event for SBP.

First and foremost, please fill in your valid email address, so we may send registration approval copy to you.
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Email *
1.0 Nationality *
2.0 School's / Institution's Name *
2.1 School's / Institution's email address *
3.0 Teacher's / Chaperone's Full Name *
3.1 Teacher's / Chaperone's Gender *
3.2 Teacher's / Chaperone's I/C No. @ Passport No. *
4.0 Anyone from your school want to be the presenter in AYC International Seminar? If YES, please email your abstract to AYCM2019@sciencejohor.com *
4.1.0 Presenter 1 : Full Name
4.1.1 Presenter 1 : I/C No @ Passport Number
4.1.2 Presenter 1 : Gender
4.1.3 Presenter 1 : Highest Academic Qualification and Certification
4.1.4 Presenter 1 : Title for Seminar Presentation or Research
4.2.0 Presenter 2 : Full Name
4.2.1 Presenter 2 : I/C No @ Passport Number
4.2.2 Presenter 2 : Gender
Clear selection
4.2.3 Presenter 2 : Highest Academic Qualification and Certification
4.2.4 Presenter 2 : Title for Seminar Presentation or Research
5.0 Which competition that your school will participate? *
Required
5.1.0 Scrabble Player 1 : Full Name
5.1.1 Scrabble Player 1 : I/C No. @ Passport No.
5.1.2 Scrabble Player 1 : Gender
Clear selection
5.2.0 Scrabble Player 2 : Full Name
5.2.1 Scrabble Player 2 : I/C No. @ Passport No.
5.2.2 Scrabble Player 2 : Gender
Clear selection
5.3.0 Chess Player 1 : Full Name
5.3.1 Chess Player 1 : I/C No. @ Passport No.
5.3.2 Chess Player 1 : Gender
Clear selection
5.4.0 Chess Player 2 : Full Name
5.4.1 Chess Player 2 : I/C No. @ Passport No.
5.4.2 Chess Player 2 : Gender
Clear selection
6.0 SBP Participants : Do you need T-Shirt for souvenirs? Pre-order must be paid before June 23rd, 2019 (RM30.00/pcs OPTIONAL) *
6.1 Souvenir Tshirt 1 : Please tick all the variants
6.2 Souvenir Tshirt 2 : Please tick all the variants
6.3 Souvenir Tshirt 3 : Please tick all the variants
6.4 Souvenir Tshirt 4 : Please tick all the variants
7.0 Payment reference number (Telegraphic Transfer Receipt)
7.1 Date of Payment
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