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JOM Registration Form
*Kindly submit your registration form by 14th August.*
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* Indicates required question
First Name:
*
Your answer
Last Name:
*
Your answer
IC Number / Passport Number:
*
Your answer
Age:
*
Your answer
Email:
*
Your answer
Address:
*
Your answer
State:
*
Your answer
Country:
*
Your answer
Phone Number:
*
Your answer
Do you have any musical background?
*
No
Yes
Please state if "YES".
Your answer
How did you learn about us?
*
From JOM student
From social network. advertisement, or an online search
Please state the NAME & BATCH NUMBER of JOM student who recommended you this course.
Your answer
BANKING DETAILS:
ORANGE BOX STUDIO
Bank: Public Bank
Account Number: 314 800 7620
*Please WhatsApp us a copy of the receipt for reference.*
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