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REGISTRATION FORM

Name of School:
SK BANDAR BUKIT MAHKOTA
Type of School:
National Primary School

Location:
Rural
JALAN BM 5/12, SEKSYEN 5 BANDAR BUKIT
MAHKOTA
KAJANG SELANGOR 43000

School Correspondence Email:


BBA4060@moe.edu.my
Kindly have your School Principal sign and
Telephone: stamp this Confirmation Form, and send it to
03-89125452
us preferably via email to:
Fax Number (if any):03-89125452
Email: my.esd@wwf.org.my
Name of School Principal:
MOHD FAIZAL BIN ABD AZIZ
Name of Teacher Coordinator: or mail it to us to:
WAN IZYATI AL EILLIA BINTI WAN
YACOB
Phone Number of Teacher Coordinator: Eco-Schools Malaysia
0199194124 WWF-Malaysia
Email of Teacher Coordinator: 1 Jalan PJS 5/28A
eillia@hotmail.com Petaling Jaya Commercial Centre (PJCC)
Total Number of Students in your school: 46150 Petaling Jaya
1808 Selangor, Malaysia
Total Number of Teachers in your school: Telephone No: +603 7450 3773
103 Fascimile No: +603 7450 3777
Comment(s):

Signature of Principal

Stamp of School

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