1ST JOHOR INTERNATIONAL SCOUTS

FESTIVAL 2016

22nd October 2016

Wisma Tiong-Hua, Johor Bahru, Johor,
Malaysia
CONTINGENT REPLY SLIP

National Scout Organisation

(NSO)

State / District / Group

CONTINGENT REPLY SLIP (LEADERS)

Contact Number / Personal

Full Name Gender Age Scouting Position
Email
1.
2.
3.
4.
5.
6.
7.
8.
9.
10
.

* Please use additional sheets if there is not enough space.

 1ST JOHOR INTERNATIONAL SCOUTS
FESTIVAL 2016

22nd October 2016

CONTINGENT REPLY SLIP

National Scout Organisation Pengakap Muda

(NSO)

State / District / Group Johor / Kota Tinggi

CONTINGENT REPLY SLIP (PARTICIPANTS)

Contact Number / Personal

Full Name Gender Age Unit
Email
1. MUHAMMAD AMIRUL FAWWAZ BIN MISRAN M 11 PENGAKAP MUDA
2. ADAM QAYYUM BIN SENU M 10 PENGAKAP MUDA
3. MYA ALYSSA BINTI KAMIZAN F 10 PENGAKAP MUDA
4. NUR SARAH AMANI BINTI MOHD TAHIR F 10 PENGAKAP MUDA
5. SITI NUR AININ SOFIYA BINTI SHARUDDIN F 10 PENGAKAP MUDA
6. NUR DAMIA LUTFIAH BT RUMIZAN F 11 PENGAKAP MUDA
7. NURUL IMAN HADFINA BINTI HAMIZAD F 11 PENGAKAP MUDA
8. NURUL SYUKRAH ASNIAH BT MOHD ANUAR F 11 PENGAKAP MUDA
9.
10
.

* Please use additional sheets if there is not enough space.

1ST JOHOR INTERNATIONAL SCOUTS

FESTIVAL 2016

22nd October 2016

Wisma Tiong-Hua, Johor Bahru, Johor,
 CONTINGENT REPLY SLIP

National Scout Organisation

(NSO)

State / District / Group

Prepared
Summary of Contingent Registration:
by: ..............................................
Contingent Secretary Leaders Participants
Name: Total
Scouting Position:

Payment (RM) RM 15.00 x RM 15.00 x

Certified _________ _________

by:............................................. = =
Contingent Leader
Name: RM_________________ RM_________________
Scouting Position:
_ _
Total Payment (RM)

Approved
by:..............................................
Chief Commissioner / International
Commissioner / State / District Note:
Commissioner
Name: 1. For early registration, please send the Contingent Reply Slip by 15 October 2016 to
jisfest@gmail.com
2. Early registration is needed for the secretariat to prepare the festival kits.
3. For walk-in registration, please bring the Contingent Reply Slip on the day of the
Received event.
by:.............................................. 4. All payment and sales will be in Malaysian Ringgit (RM).
Director / Secretary 5. All cash payments and cheque can be made payable to PPM DAERAH JOHOR BAHRU
1st Johor International Scouts Festval 2016 (AMBANK: 2532022000463)