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PPE REQUEST FORM

Send the completed form to mimsyufiana97@gmail.com


Please bring a copy of this form during register

Institution
Name of Institution

Representative Details
Full name
Team
Email address

Price and Deposit


Type of equipment Price per unit Deposit
Lab coat Rm 10 Rm 50
Safety glass Rm 10 Rm 20

List of equipment
Type of equipment Quantity

Note

 Rubber glove is not for rent. Because it is disposable. You must buy the
rubber glove for Rm 2 per pair.
 We will take deposit cash upon arrival.

Reminder

 All participants are required to wear safety equipment, otherwise you


will not be allowed to participate in the competition
 Completed form must be sent before 22-3-2018. Any request after these
date will not be entertained.
 The deposit will not be returned if the equipment is found damaged.

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