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Asian Nursing Scholarship(ANS) Registration Form 亚州护理奖学金报名表格
Thank you for your interest shown & registered for the Asian Nursing Scholarship(ANS).
Contact ANS Local Partner at (604)-444 6565 | 012 477 8012 (Ai Khee) | 012 4562082 (Darren)
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* Indicates required question
Your name as per IC
身份证上的名字
*
Your answer
Email
电子邮件地址
*
Your answer
IC Number (Example : 040302-02-8888)
*
Your answer
Contact Number
联系电话
*
Your answer
Residing in which State
居住在哪个州
?
*
Perlis
Kedah
Penang
Perak
Selangor
Kuala Lumpur
Putrajaya
Melaka
Negeri Sembilan
Pahang
Johor
Kelantan
Terengganu
Sabah
Sarawak
Labuan
Brunei
School name
学校名称
*
Your answer
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