Scribd
Upload
13 views3 pages

Chem-E-Car Competition Registration Fees

This document is a registration form for the 12th Malaysian Chem-E-Car Competition with different registration fee rates for early bird registration by March 7, 2017 and normal registration. It requests information such as group name, team leader, team members, name of institution, address, contact details, and payment method. It notes that registration fees are non-refundable if a team withdraws after being accepted, but substitutions are allowed, and full payment is still required if a team fails to attend.

Uploaded by

Mohd Azman Suwandi
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as RTF, PDF, TXT or read online on Scribd
13 views3 pages

Chem-E-Car Competition Registration Fees

This document is a registration form for the 12th Malaysian Chem-E-Car Competition with different registration fee rates for early bird registration by March 7, 2017 and normal registration. It requests information such as group name, team leader, team members, name of institution, address, contact details, and payment method. It notes that registration fees are non-refundable if a team withdraws after being accepted, but substitutions are allowed, and full payment is still required if a team fails to attend.

Uploaded by

Mohd Azman Suwandi
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as RTF, PDF, TXT or read online on Scribd

12th Malaysian Chem-E-Car

Competition
Registration
Form
EARLY BIRD (BY 7
MARCH 2017) NORMAL
RATE INTERNATIONAL 1: RM300 (INCLUDING GST 6%)
FEE 2: RM 350 (INCLUDING GST 6%)
3: USD 100 (EXCLUDING GST 6%)
Group Name:
Team Leader: Advisor:
Team Members: 1.
2.
3.
4.
Name of
Institution:
Address:

Tel No:
Email Address:
Committee.
For further enquiry, kindly
1 We enclose herewithcontact:
Please a crossed
TICK cheque/bank draft
issued in favor of
where The Institution of
Engineers, Chem-E-Car 2016 Secretariat
applica Malaysia. C
ble: We authorize you to debit myh
Visa/Mastercard. e
Note m
: Card No : i
Acce c
Expiry a
ptan Date : l
ce of
parti
I/We understand that the E
cipa
fee is not refundable if I/we n
nts is withdraw after my/our g
subj application is/are accepted i
ect n
by the Organizing e
to Committee. However, e
decis substitution of participants r
ion is allowed. If I/We failed to i
by attend the competition, n
the I/We will still settle the g
registration fee in full. All
Orga payments must be
nizin T
received by Institution e
g Engineers Malaysia (IEM) c
h n a
n i y
i e a
c u ,
a r
l , S
e
L l
D o
i a
t n
v s g
i o
s 6 r
i 0
o D
n & a
r
T 6 u
h 2 l
e ,
E
J h
I a
n s
l a
s a
t n
n
i F
t 5 a
u 2 x
t /
i 4 N
o , o
n :
P
o O 6
f 0
B 3
E o -
x 7
n
g 9
2 5
i 2
n 7
3
e
e J 7
r a 6
s l 7
, a 8
n
M S
a S i
l u t
a l i
y t
a A
s n i
i
s
a 4 y
6 a
B 7 h
a 2 :
n 0
g 6
u P 0
n e
t 3
a -
n a
l 7
i 9
I 6
n n
g 8
g
e J 4
0 y e
2 a t
6 h :
E @
m i 6
a e 0
i m 3
l . -
: o 7
r 9
s g 6
i . 8
t m
i y 4
a 0
i J 1
s a 1
n

You might also like