ECO-COMIC ONLINE WORKSHOP REGISTRATION

Parent/Guardian

Name (as per NRIC/Passport)*

Contact no.*

Email address*

Relationship to participant*

Child/Student

Name (as per NRIC/Passport)*

NRIC/Passport no.*

Age*

Gender*

Male

Female

School name i*

Class*

State*

I hereby declare that the particulars stated herein are true. I have read and understood the Personal Data Protection Terms and Condition