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ATTACHMENT A

INVENTION, INNOVATION AND DESIGN


UiTM NEGERI SEMBILAN BRANCH 2017
(IID UiTM CNS 2017)
22 FEBRUARY 2017

APPLICATION FORM

I would like to attend the IID UiTM CNS 2017.

CATEGORY:
Please tick () on the selected category.

CATEGORY

Junior Inventor/Innovator
(Primary School)

Junior Inventor/Innovator

(Secondary School)

Young Inventor/Innovator (Social Science)


(Institutions/Matriculations/Polytechnics/Colleges/universities/etc)

Young Inventor/Innovator (Science and Technology)


(Institutions/Matriculations/Polytechnics/Colleges/Universities/etc)

Professional Inventor/Innovator (Social Science)


(Lecturers/Teachers/Industries/Public/etc)

Professional Inventor/Innovator (Science and Technology)


(Lecturers/Teachers/Industries/Public/etc)

The registration fee can be paid by Money Order/Postal Order/Cheque made payable to
Kumpulan Wang Amanah UiTM N.Sembilan Account Number: BIMB 0503-00100-11038

1
APPLICATION INFORMATION
Institution / Organization: MAAHAD TAHFIZ NEGERI PAHANG
Title of Research/ Project: SMART PALM OIL PLANTATION

No. Name of Member (s) Contact No.


1 ABD RAHIM BIN ABD SALIM 017-4327512

2 MUHAMMAD FAYYADH BIN NIZAR

3 UMAIR BIN MOHD NOOR

4 WAN MOHAMAD SYUKRI BIN WAN ADREE

5 MUHAMMAD FARID HAIQAL BIN MD. NASIR

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