Register for EYLN

   NOTE: Please fill in all fields. Registrations without all fields filled will be rejected.
Name
       
NIRC Date of birth
     
University Year
       
Course
major		 course
minor
     
Gender    
     
Permanent
Address		 Current Address
       
Contact
home		 Contact current
       
Email    
       
Are you an AIESECer? are you a vegerarian
       
if yes which LC    
       
Do you require accommodation during EYLN 2009    
 


 
Do you have
any allergies		    


   Those who are registering as a team please fill in the details below, if not please ignore and hit the 'Register' button.

Team Name		  
  IMPORTANT: All team members listed below must also register individually.
Team member names
 
   



  • Please bank in your payment to Yau Shin Yee (CIMB BANK ACCOUNT 1285-0001338-52-8) and keep your transaction slip as proof of payment.

  • Please also text message your name, date of transaction and name of bank branch to Yau Shin Yee at 012-374 6268

I hereby verify that all information provided is true and have adhered to above requirements. If I have not done so then AIESEC Local Committee in Universiti Kebangsaan Malaysia has the right to reject my application

 
 
 
 
       
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