NATSUM Participants Registration

IEM Branch(*)

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Branch / University / College / Polytechnic / Institution / Country

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(to filled if selected others)

Name(*)

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Key-in Your Full Name

Identification Number (MyKad)(*)

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IEM Membership Number(*)

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Phone Number(*)

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email(*)

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Address(*)

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Emergency Contact No.(*)

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Relation with person above(*)

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Emergency Contact Name(*)

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Technical Visit Choice(*)

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T-shirt Size(*)

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Food Option(*)

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Kindly make payment according to banking details as follows:-

Graduate engineer: RM 400.00 per person
Engineering student: RM 350.00 per person

Bank name: AMBANK

Bank Address: MENARA LIANG COURT, NO. 37, JALAN SULTAN AHMAD SHAH, 10050 PENANG, PULAU PINANG

Bank Account Number: 002-201-101022-6

Account Name: The Institution of Engineers, Malaysia

Please retain your proof-of-payment. It is compulsory upload to online registration. Failure to upload proof-of-payment will render invalid registration.

Amount to be Paid(*)

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Payment Date(*)

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Upload Proof of Payment

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Upload your Proof of Payment here

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NATSUM Participant Registration