AGROKULINARI CHALLENGE Participant Registration Form

AGROKULINARI CHALLENGE Participant Registration Form

11th - 22nd September 2024. MAEPS Selangor Darul Ehsan
Participants Details:
- For individual participants, fill in only your name.
- For team challenges, provide all team members' names.
- All information is required. You may face difficulty submitting the form if any required information is missing.
- If you face any difficulty filling out the form, kindly contact us for assistance at +601165653080 or +60133553080.
- Please note that all information provided is solely for organizer use only and may be processed by JotForm, as this form is hosted on their platform. However we take extra precautions by encrypting this form online to ensure data protection
Full Name I: as in NRIC

First NameMiddle NameLast Name
Full Name 2: as in NRIC (for Team Challenge Classes ONLY)

First NameLast Name
Full Name 3: as in NRIC (for Team Challenge Classes ONLY)

First NameLast Name
Full Name 4: as in NRIC (for Team Challenge Classes ONLY)

First NameLast Name
Address

Street Address

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-00000.
E-mail
Individual Class - Professional (industry) Category: Class of Competition
Team Challenge - Professional (industry) Category: Class of Competition
Individual Class - Apprentice (students) Category: Class of Competition
Team Challenge - Apprentice (student) Category: Class of Competition
Brewtiful Coffee - Professional Category: Class of Competition
"Date of Competition for Each Class"
Number of Class Participated

To complete your registration, please fill out the form and submit the payment receipt or proof of payment.

Rows	Registration Name	CDM/Online/FPX/PayPal: Reference Number	Amount Paid
1

To finalize your registration, please make your payment using the following details and submit the payment receipt or proof of payment.

Bank Account Number: 8000-630-800
Bank Name: CIMB
Bank Account Holder: THE MALAYSIAN FOOD AND BEVERAGE EXCUTIVES ASSOCIATION
SWIFT Code:CIBBMYKL
Reference: AGROKULINARI CULINARY CHALLENGE
Branch: Jalan TAR
Kindly upload the proof of payment.
For participant safety during the event, please provide any relevant health information, including if you are deaf or have other special conditions.
What do you think about this format of registration for the MAHA AgroKulinari Culinary Challenge 2024?
Scan the QR code to download the Rule Book. We welcome any suggestions you may have for improving the registration process.
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