rego form for GSD 2008

4th Great Serdang Debating Championship (GSD) 22nd - 26th May 2008 Kolej Tun Dr. Ismail, Universiti Putra Malaysia

REGISTRATION FORM

Institution Information

Institution Name ___________________________

Institution Address______________________________________________________________

______________________________________________________________

Contact Person Information

Name _________________________________ Job Title _______________________________

Telephone _____________________________ Facsimile ______________________________

Email _________________________________ Signature ______________________________

Terms of Payment

Registration Fee (Speaker) RM 150.00 per participant X ______

Registration Fee (Adjudicator) RM 100.00 per participant X ______

Registration Fee (Officer/Observer) RM 100.00 per participant X ______

Total Fees RM _______________

(inc. surcharge for banking charges @ 5% for institution outside Malaysia)

□ I will post a Cheque made payable to Bendahari UPM

□ I would like to pay cash upon registration

Contact Details

Corresponding address: Committee Great Serdang Debating Championship 2008

(U/P: Mohd Nazri Mohd Rahim)

Kolej Tun Dr. Ismail

Universiti Putra Malaysia

43400 UPM Serdang,

Selangor, Malaysia

Fax us at +603 89467364 or email to gsdupm2006@yahoo.com

Team/s*

Team Name ___________

Speakers

1 __________________________________

2 __________________________________

3 __________________________________

Team Name ___________

Speakers

1 __________________________________

2 __________________________________

3 __________________________________

Team Name ___________

Speakers

1 __________________________________

2 __________________________________

3 __________________________________

Adjudicator/s

1 __________________________________

2 __________________________________

3 __________________________________

4 __________________________________

5 __________________________________

* For institutions sending more than three teams, please use another copy of the registration form.