INDIVIDUAL REGISTRATION

Full Name Full Name:
Please enter your full name as per your identification card. Example: AHMAD BIN ABU

Identification Card (I/C) / Passport Number Identification Card (I/C) / Passport Number:
(Example: 080503-10-1111)

Gender Gender:
Male
Female

Age (years old) Age: Select... 13 14 15 16 17

E-Mail Address E-Mail Address:
Only Gmail accounts are allowed for the use of Google Classroom. MoE email cannot be used due to MoE mail restrictions. Example: abu@gmail.com

Phone Number Phone Number:
Phone number that has Whatsapp applications. Example: 010-1234567

School Name School Name:

Residential Address Line (1) Residential Address Line (1):

Residential Address Line (2) Residential Address Line (2):

City/Town City/Town:

Postal Code Postal Code:

State State: Select... Perlis Kedah Penang Perak Selangor WP Kuala Lumpur WP Putrajaya Negeri Sembilan Melaka Johor Kelantan Terengganu Pahang Sabah Sarawak WP Labuan

Full Name of Guardian/Caretaker Full Name of Guardian/Caretaker:
Please enter your full name as per your identification card. Example: AHMAD BIN ABU

Guardian/Caretaker Phone Number Guardian/Caretaker Phone Number:
Example: 010-1234567

Relationship with Guardian/Caretaker Relationship with Guardian/Caretaker: Select... Mother Father Grandmother Grandfather Sister Brother Others

Skills Assessment

Skills Assessment (required!)

	☆☆☆☆☆ (none)	★☆☆☆☆ (begineer)	★★☆☆☆ (intermediate)	★★★☆☆ (proficient)	★★★★☆ (advanced)	★★★★★ (expert)
Block programming
Python programming
Creating 2D graphics
Creating 3D graphics
Basic Sound editing
Advance sound editing (3D, sound mixing, sound effects)
Slide Show/others (for product presentation)
Word/others (for product report)
Pitching experience

Payment Method:
To complete your registration, please make a payment either Electronic Bank Transfer, Cheque or QR Pay. Select Payment Method... Electronic Bank Transfer Cheque QR Pay Cash

For Electronic Bank Transfer, screenshot your payment or download a receipt (if any) for the payment proof. For Cheque payment, scan the cheque or the receipt of transaction as the payment proof.

For QR Pay, scan this QR, screenshot your payment or download a receipt (if any) for the payment proof.

Transaction Reference Number (for electronic bank transfer only) Transaction Reference Number (for electronic bank transfer only):

Transaction Date Transaction Date:

Paid To (Cash Payment) Paid To (Cash Payment): Electronic Payment/Cheque/QR Payment Muhammad Syafiq

Upload the Receipt of Transaction/Scanned Cheque/Transaction Screenshot for QR Pay (not required for cash payment, image in JPG/PNG/BMP format or PDF file, max 3MB):