Pertubuhan Sains, Teknologi dan Inovasi (PPM-012-10-25102012) No.16A, Jalan 21/12, Sea Park, 46300 Petaling Jaya, Selangor Tel 03-78778S71/03-78655557 Email: nsfycO0@gmail.com ZONE LEVEL SCIENCE FAIR 2023 Parents/Guardians Permission Letter | Students Personal Details (Please write the details in clear) State’ PAHANG School Name STKCD_LADANG JERAM 4 ‘Students Full Name KANINAYAAH A/p TAMIL SITHAMPARAM. ] IC No 120330 ~ 06 — 0638 Father's Name TAMIL SITHAMPARAM IL. PERIAYAH. Father's Contact Number_| O16 S17 S6G& Mother's Name MARIAM Alp MANIAM Mother's Contact Number | O11 334, 3093 NO (8 LRG TAMAN SE@i INDERAPURA SH JALAN Address PEKAN-KUANTAN 35100 KUANTAN PAHANG. To: (Organizers) President Association of Science, Technology and Innovation (ASTI) No.16A, Jalan 21/12,Sea Park, 46300 Petaling Jaya Sit/Madam, T TAMU _STHAMPARAM . father J mother / guardian to the student (name) T_KANINAYASH agree to allow my son / daughter / ward to participate in the Zone Level Science Fair 2023. on the 26 August 2023 (Saturday) at MENT BAS (Venue). am fully aware and agree that the organizers will not be liable for any untoward occurrence during this event. Yours sincerely, Bre — Signature Parent/Guardian Name: TAMIL SITHSMPARAM Af PERIAyAn ICNo: #€apo¢e Date: "S6~ Siqq, 1314/2023