Name

parchedmoosupΗλεκτρονική - Συσκευές

29 Νοε 2013 (πριν από 4 χρόνια και 1 μήνα)

163 εμφανίσεις


1



REGISTRATION

FORM



University/

College/

Polytechnic






Name
:



Address
:




Tel:



Fax:



Team
Name:




Team Manager




Name:




Address :






Tel:



H/P No:




Fax:





E
-
mail
:












2





Name




E
mail


I/C
Number


Tel/HP No.


Member 1
(Team Leader)


Member 2 :


Member 3:


Member 4 :


























I hereby register the above individuals as the representative team to
participate in the ROBOCON 20
11

Contest in accordance with the set rules
and regulation.



Signature


:

___________________
___________________________


Name



:

___________________
___________________________


Designation


:

______________________________
________________



Date




:

___________________
___________________________




Note:

Completed form should be submitted to the following address no later than
29 April 2011


Secretariat Technical Committee

Robocon 20
11

SIRIM BERHAD

Advanced

Automation & RFID Centre

Lot 5285, Off Lebuhraya Puchong


Sg.
Besi

57000 Bukit Jalil, Kuala

Lumpur

Contact Person

:
Pn. Ir.
Susana Kamaruddin


No. Tel


:
03
-
8992 600
6


No. Faks

: 03
-
8992 6194



Email : robocon@sirim.my


3


ROBOCON 20
11

Terms and Conditions of Registration



1.

E
ach
participating
team has to pay a refundable deposit of RM500.00.


2.

The registration must be accompanied with a copy of the proof of deposit.


3.

The deposit can be paid in the form of money order, postal order or che
que
made
payable to “SIRIM Berhad”.


4.

The deposit
can be made

to the ROBOCON Secretariat during the Technical Briefing
session.


5.

All deposits should be received by the ROBOCON secreta
riat no later than
16 Mei
2011
.


6.

The registration is only considered
confirmed upon received of the deposit.


7.

Any registration that
has
failed to
pay the deposit by
16 Mei
2011

will be considered
void.


8.

Team that has paid the deposit must participate in the ROBOCON 20
11

competition

in
at least 1 game.


9.

Team that has confirm
ed registration but failed to participate

in any one game

will not
get the refundable deposit back.


10.


The deposit will be refunded to the team during the last day of the competition.




ACKNOWLEDGEMENT

You have understood and accepted
ROBOCON 20
11

Term and
Conditions of
Participation,
Rules and Regulations
and
have agreed to abide by
all
the rules.


OTHER INFORMATION

This information is correct at time of printing and is subject to change without prior notice.