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Please fill in the details below. Kindly ensure valid email and phone number as all updates will be corresponded via these medium :
E-mail
:
The password will be sent via this email.
Phone Number (HP)
:
Salutation
:
Full Name
:
NRIC/ Passport
:
Country
:
Select Country
Malaysia
Indonesia
Thailand
Singapore
Brunei
Japan
Philippines
Others
Institution Name
:
Institution Address
:
Postcode :
State :
Country :
Bidang / Area
:
Category
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Presenter
Participant
Reviewer
select either presenter or participant.
I hereby confirm that the details submitted are true and correct information
if you have any questions, please contact via the secretariat's phone number/whatsap (Suriati binti Ramle (+60139182482, PKB), Nik Nur Fathiha binti Nik Din (+60129489070, PKB), Ulfa Hasnita. S.Si.,M.T. (+6281360076818, Polmed) OR Ir. Abdul Rahman, S.T., M.T. (6281360380598,Polmed)
OR
Join Whatsapp Group:
https://chat.whatsapp.com/FOaMdN61fYf99rwjgayioB
)
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