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*ONLINE REGISTRATION FORM*

Student's Name:
Age:
Sex:
Date Of Birth:
Address:

Contact Person:
Contact Number:
E-Mail Address (if any):
Course Applied For:

FILL IN YOUR PREFERENCES AS REQUIRED BELOW:-
Commencement Date:	e.g. (dd/mm/yy)
Day Of Course:
Time Of Course:

Payment Method 1:	To confirm enrolment, a cheque of amount RM 50 (registration fee of RM 25 and Deposit of RM 25) should be posted to our centre. Cheque is made payable to *INFORMATICS GROUP (S) PTE LTD*. Fees paid is not refundable upon student's own cancellation of course. Please enter cheque number: and The name of the Bank

Payment Method 2:	To confirm enrolment, money order/postal order of amount RM50 (registration fee of RM 25 and Deposit of RM 25) should be posted to our centre. Cheque is made payable to *INFORMATICS GROUP (S) PTE LTD*. Fees paid is not refundable upon student's own cancellation of course.

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