MALACCA CTRE REGISTRATION FORM  
  Yes, I want to attend Malacca CTRE Program:
  Step 1: Full payment is required to secure your seat.  
  Step 2: Please bank in your payment RM250  
             CIMB Bank Account: 1-4420-0057-6005-9 (Yong Norshikin Shahari Shah) or
             Maybank Account:  164-017-057-578 (Loh Siew Wah)
  Step 3: Complete the following form and click SUBMIT button.  
  Step 4: Upon receiving your registration, notification of acceptance by email/sms will be sent to you within 3 days.
  Step 5: Submit your bank in slip (write down name & tg #) to CTRE facilitator when you report yourself on departure day.  

My Contact Details:
 

Name (as in IC) :
TG # :
TGA :
Phone :
E-mail :
I/C# :
   
Yes, I have already bank in my payment details as below:
(Please provide bank name / bank location / date / time / amount)
ex..(CIMB / KL Sentral / Feb22 / 3PM / RM250)
 
Remarks/Questions: (if applicable)