ASIAN SCIENCE & MATHS OLYMPIAD (ASMO)(Formerly Known as MASMO)

91B, Jalan Kenari 20, Bandar Puchong Jaya, 47100 Puchong, Selangor, Malaysia.
Tel / Fax : (+60)03 - 5879 7831 E : registration@asmo2u.com W : www.asmo2u.com

ASMO 2015 WORKSHOP REGISTRATION FORM

Please complete with BLOCK letters only.

Parent / Guardian DETAILS

Name
Address
Postcode

State

Contact Number

Email

PARTICIPANTS DETAILS
Name
SCHOOL NAME
YEAR

Contact Number

BIRTH YEAR

*GENDER

Date of Birth: Y = Year;

*Please circle

ASMO Intensive Workshop 2015

Session(s)

Please select your session with (copy & paste)

School Holiday
(Morning Session)
Workshop Package
10.00am - 12.30pm

School Holiday
(Afternoon Session)
Workshop Package
2.30pm - 5.00pm

MON (16/03/15)

ASMO WORKSHOP 1

TUE (17/03/15)

APMOPS

ASMO WORKSHOP 2

WED (18/03/15)

ASMO WORKSHOP 3

ASMO WORKSHOP 4

THU (19/03/15)

ASMO WORKSHOP 5

ASMO WORKSHOP 6

FRI (20/03/15)

ASMO WORKSHOP 7

APMOPS

Total

Sessions

Sessions

Training Fee 1 Session for RM75

5 Sessions for RM350

No. of Session
Total

:_____session(s)
:RM ________

REGISTRATION PAYMENT
CASH or CHEQUE (Please make cheque payable to Olympic Edu Sdn Bhd. On the reverse of each cheque,
please write the School Name, Contact Number.)
Email - Please bank in the cash/cheque payment to Olympic Edu Sdn Bhd (Public Bank 3146-5613-25),
(Maybank 5123-4355-4047) then email the bank-in slip to registration@asmo2u.com
with School Name, and Contact Number.
For any queries, please contact us at 03-5879 7831 or email to registration@asmo2u.com . Thanks.