registration form ‘A. PARTICIPANT DETAILS (Please tick (/) the appropriate box) Participant Category: School [7] _ college/Polytechnic University/Industry Individual Name of Participant 1 [wR wmbayAt; &INT/ MOH ARIS 2 |WuR RABIATUL ADAWIAH &/NT/ MOHD RAZALI 3 |RAYZIL ZLZUEA BIN YusoF Company Address Sk SERI OAMAL Postcode :| 25450 State/Region:| PAHANG Phone (Office/Mobile) :| 09- S397272 Fax:| 09- 5398240 Email cee 4085S @ Yahoo.com B. EXHIBITION DETAILS (Please circle the appropriate box) Exhibition Category A Bo caer ealar [ver [ae Project Title PELaNCAR RAEET AIR Presentation by Manufactured Article C. TECHNICAL FEATURES (Attach diagram if applicable) PEMBIND PELANCAR ROKET AIR WENGGUNAKAN tel: 4609 424 6344 ax: +609 424 6345, BAHAN kos REXDAH mail: ainex2015@smailcom Website: http://ainex.ump.edu.my This form should be submitted not later than to the secretaria’s addressed, Prototype { Automotive Engineering Centre Model 1 Universiti Malaysia Pahang Pian | 26600 Pekan, Pahang, Malaysia \'m the undersigned, declay Signature: cM. WAN! project is my property and | agree to abide by the regulation, 8, WR MOHD WOR vate: § OCS OLS } tee A Date Received: | Ref. Number Category: | Booth Number