Home
Profile
Product
Testimony
Gallery

Registration Form

Intensive workshop of eight days to generate the birth of geniuses of mathematics, sciences and technologies

Dates:

 

Place:

 

Name:............................................Tel: ................................ /...........................

Profession:.................................... Email adress: …….………………………………………………..

Spouse’s name: ....................................... Profession: ...................................

Tel: ……………………………… /……………………………………….

Name of partipants:

 

Names

Age

School/kindergarden

Important info about participant

1

       

2

       

3

       

4

       

5

       


I have deposited a sum of RM ……………………………… (Ringgit ………....................... ........................ (being deposit/full payment) to enable the above participant(s) to attend the camp/workshop.

Signature:

I/C Number:

Date:






Fyvoeight Resources, No 23 & 25, Jalan Pusat BCH 1/3, Bandar Country Homes, 48000 Rawang, Selangor | Tel: 03-67334405; 03-67334406; 019-2605162; 017-6521730 Fax: 03-67334402 | e-mail: mokhtarhjmansor@gmail.com