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  • P Articipant Info:: Participation Form

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    SUZIEWATI BT. MAT YAAKUP KPM-Guru
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    Siti Asmah Mohd Yaakup, a 44-year-old teacher from Kuala Penyu, Sabah, provided her personal details to register for an online course on teaching strategies for students with hearing impairments and learning disabilities from March 15-17, 2022 hosted by SEAMEO SEN. The form also included her emergency contact, Mohd Amir Nordin, and her agreement to participate in the program.

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    Siti

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    Siti Asmah Mohd Yaakup, a 44-year-old teacher from Kuala Penyu, Sabah, provided her personal details to register for an online course on teaching strategies for students with hearing impairments and learning disabilities from March 15-17, 2022 hosted by SEAMEO SEN. The form also included her emergency contact, Mohd Amir Nordin, and her agreement to participate in the program.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    10 views1 page

    P Articipant Info:: Participation Form

    Uploaded by

    SUZIEWATI BT. MAT YAAKUP KPM-Guru
    Siti Asmah Mohd Yaakup, a 44-year-old teacher from Kuala Penyu, Sabah, provided her personal details to register for an online course on teaching strategies for students with hearing impairments and learning disabilities from March 15-17, 2022 hosted by SEAMEO SEN. The form also included her emergency contact, Mohd Amir Nordin, and her agreement to participate in the program.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Southeast Asian Ministers of Education Organization

    Regional Centre for Special Educational Needs (SEAMEO SEN)

    PARTICIPATION FORM
    PLEASE TYPE ALL REQUIRED INFORMATION IN CAPITAL LETTERS

    P ARTICIPANT INFO:
    First Name: SITI ASMAH Last Name:MOHD YAAKUP

    Date of Birth:17.06.1977 Age:44

    Address:KG. TAMBAILIK, W.D.T 17

    City:KUALA PENYU

    Province/State:SABAH Postal Code:89747

    Tel No.:- Mobile. No.:0189719857

    Occupation/Position:TEACHER Gender: Female

    Email Address:mysitiasmah@gmail.com
    IC No. / 770617125884
    Passpor
    t No.:
    Religion:MUSLIM Marital Status: Married

    Specialty/Expertise Area(s):

    Organization/School: SK. PEKAN KUALA PENYU

    Qualifications (Degree, PhD): DEGREE

    Emergency Contact:

    Name: MOHD AMIR BIN NORDIN Tel No.: 0189713013

    Relationship:HUSBAND

    Address:KG. TAMBAILIK, KUALA PENYU,SABAH.

    Postal Code:89747

    TERMS OF AGREEMENT
    Programme/Course Title: Teaching Strategies for Teachers of Students with Hearing Impairments and Learning
    Disabilities (Online)

    Date: 15 – 17 Mac 2022 Platform: Zoom


    I hereby agree to be the participant for the above-mentioned programme:

    Name:SITI ASMAH BINTI MOHD YAAKUP Date:111/3/2022

    Signature: SITI ASMAH

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