EDUCATIONAL GAME COMPETITION 2021 REGISTRATION
CONTACT PERSON'S DETAILS
TYPE OF PARTICIPATION
Student (Primary/Secondary/Undergrad)
IMU Student
Full name *
E-mail *
NRIC number / Passport *
Mobile phone number *
ADDITIONAL INFORMATION
Teacher advisor (for School participant *)
Institution/School *
ADDITIONAL INFORMATION
School *
Select school
CENTRE FOR BIOETHICS AND HUMANITIES
CENTRE FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE (CCAM)
CENTRE FOR PRE-U STUDIES
CLINICAL SKILLS AND SIMULATION CENTER (CSSC)
EDUCATIONAL RESOURCES AND SUPPORT
LIBRARY
SCHOOL OF DENTISTRY
SCHOOL OF HEALTH AND SCIENCES
SCHOOL OF MEDICINE
SCHOOL OF PHARMACY
SCHOOL OF POST GRADUATE
Institution/School *
GROUP MEMBERS (max 3 participants)
Full name
E-mail
1
2
3
GAME INFORMATION
Name of the game *
Objective of the game (please elaborate the game) *
System requirements (please elaborate the game) *
Please provide links of game demo, additional files/resources, screen shot, Short video, proof to back up the claims, etc.
PAYMENT INFORMATION
Fees
RM 50.00
Fees
RM 100.00
Method of transfer
Bank transfer
Bank information
Account No.:
5-14187-427455
Accout Name:
IMU Education Sdn Bhd
Bank:
Malayan Banking Berhad
Branch: Jalan Yong Shook Lin, Petaling Jaya
Bank name
Affin Bank Berhad
Alliance Bank Malaysia Berhad
AmBank (M) Berhad
Bangkok Bank Berhad
Bank Islam Berhad
Bank of China (Malaysia) Berhad
Bank of China (Malaysia) Berhad
Bank Simpanan Nasional
CIMB Bank Berhad
Citibank Berhad
Hong Leong Bank Berhad
HSBC Bank Malaysia Berhad
IMU HR (For Internal Participant)
Malayan Banking Berhad
OCBC Bank (Malaysia) Berhad
Public Bank Berhad
RHB Bank Berhad
Standard Chartered Bank Malaysia Berhad
United Overseas Bank (Malaysia) Bhd.
Transaction date
Transaction reference *
Proof of payment *
Agreement
I agree that the work submitted are original and not taken from other resources.
SUBMIT REGISTRATION
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