Student Full Name

MyKAD / MyKID No

Phone Number Email

Age

Address

COURSE REGISTRATION FORM

PUSAT SAINS

NEGARA

Recommended for

7 to 9 years old

Recommended for

10 to 14 years old

Recommended for

12 to 16 years old

Recommended for

10 to 14 years old

Food (Additional RM10/day)

COMING SOON

DEC

PERPUSTAKAAN

AWAM SELANGOR

30th

NOV

PERPUSTAKAAN

AWAM SELANGOR

10th

DEC

PUSAT SAINS

NEGARA

COMING SOON

DEC

SURAU AL-ABRAR

DENAI ALAM

4th

DEC

PUSAT SAINS

NEGARA

COMING SOON

DEC

SURAU AL-ABRAR

DENAI ALAM

27-29th

NOV

PERPUSTAKAAN

AWAM SELANGOR

19-21st

DEC

PUSAT SAINS

NEGARA

COMING SOON

DEC

Parent’s Name

EEF RCL

Terms and condition apply

SCAN TO REGISTER ONLINEwww.microconcept.com.my/signup

RM4010am to 1pm

1 DAY10am to 5pm

RM90per student

3 DAYS10am to 5pm

RM320per student

3 DAYS10am to 5pm

RM350per student