Mindmap Enrolment Form

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MINDMAP ON-LINE ENROLMENT FORM

COURSE Details :

	REMEMBERING WHAT YOU READ WORKSHOP (Memory Training)

	MASTERING MIND MAPPING FOR EXCELLENT RESULTS

Name : (PLEASE USE BLOCK LETTERS)
(Nama) (GUNAKAN HURUF BESAR)

I . C. No. (No. Kad Pengenalan) :

Sex (Jantina) :

Male (Lelaki)

Female (Perempuan)

E-mail Address (Alamat E-mail) :

Postal Address :
(Alamat Surat Menyurat)

Tel No. (No. Telefon) :

Hse (Rumah)

H/P (Bimbit)

Name of School / Organisation:
(Nama Sekolah / Pertubuhan)

Occupation (Perkerjaan) :

How Did You Hear of this Course?
(Bagaimana Anda Tahu Akan Kursus Ini?)