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10th ASEAN TELMIN AND 11th ASEAN TELSOM MEETINGS

10th to 14th January 2011, Kuala Lumpur, Malaysia

REGISTRATION FORM

Full name as in passport :

Name on Badges :

(Mr./Ms./Mrs.):

Country :

Office Address :

Organization :

Tel. No. :

Fax No. :

Email :

Designation :

Please tick :

Head of Delegation (HOD)

Accompanying delegate

Meeting to attend :

11th TELSOM

10th TELMIN

Dietary requirement :

Vegetarian

Allergy (if any, please specify):

Accompanied by Spouse :

Yes

If Yes, Name :

Passport No. :

Nationality :

For security purposes, please email a passport photograph to telsomtelmin2010@kpkk.gov.my

Hakcipta Terpelihara © 2011 Kementerian Penerangan, Komunikasi dan Kebudayaan Malaysia.
PENAFIAN: Pihak Kerajaan Malaysia dan Kementerian Penerangan, Komunikasi dan Kebudayaan Malaysia tidak akan bertanggungjawab terhadap sebarang kehilangan atau kerosakan yang dialami kerana menggunakan maklumat dalam laman ini.