1ST JOHOR INTERNATIONAL SCOUTS FESTIVAL 2016

22nd October 2016

Wisma Tiong-Hua, Johor Bahru, Johor, Malaysia

CONTINGENT REPLY SLIP

PERSEKUTUAN PENGAKAP MALAYSIA

National Scout Organisation (NSO)

JOHOR/BATU PAHAT/88 SK SERI TANJONG

State / District / Group

CONTINGENT REPLY SLIP (LEADERS)

Full Name Gender Age Scouting Position Contact Number / Personal Email
0197751300
1. KHAIRULANAM BIN TUMIAN M 38 LEADER
anam.tumian@yahoo.com
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* Please use additional sheets if there is not enough space.

 1ST JOHOR INTERNATIONAL SCOUTS FESTIVAL 2016

22nd October 2016

Wisma Tiong-Hua, Johor Bahru, Johor, Malaysia
CONTINGENT REPLY SLIP

PERSEKUTUAN PENGAKAP MALAYSIA

National Scout Organisation (NSO)

JOHOR/BATU PAHAT/88 SK SERI TANJONG

State / District / Group

CONTINGENT REPLY SLIP (PARTICIPANTS)

Full Name Gender Age Unit Contact Number / Personal Email

1. MOHD KHAIRUL IRFAN B. AMIZI M 12 PARTICIPANT 074152446/skseritanjong@gmail.com
2. NOR IKHWAN B. SAMSUDDIN M 12 PARTICIPANT 074152446/skseritanjong@gmail.com
3. MOHAMMAD AMIRUL HAZAMI B. ZULKIFLI M 12 PARTICIPANT 074152446/skseritanjong@gmail.com
4. FATIN ESMA DANIAL B. ABU AMIN M 12 PARTICIPANT 074152446/skseritanjong@gmail.com
5. MUHAMMAD IQBAL SHAFIE B. MOHD KHAMSULDIN M 11 PARTICIPANT 074152446/skseritanjong@gmail.com
6. MUHAMMAD IQBAL HANAFI B. MOHD KHAMSULDIN M 11 PARTICIPANT 074152446/skseritanjong@gmail.com
7. MUHAMMAD FAZRUL B. MASRAM M 11 PARTICIPANT 074152446/skseritanjong@gmail.com
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10.

* Please use additional sheets if there is not enough space.

 1ST JOHOR INTERNATIONAL SCOUTS FESTIVAL 2016

22nd October 2016

Wisma Tiong-Hua, Johor Bahru, Johor, Malaysia

CONTINGENT REPLY SLIP

PERSEKUTUAN PENGAKAP MALAYSIA

National Scout Organisation (NSO)

JOHOR/BATU PAHAT/88 SK SERI TANJONG

State / District / Group

Prepared by: ..............................................

Contingent Secretary
Summary of Contingent Registration:
Name: Leaders Participants
Scouting Position:
Total 1 7

Certified by:............................................. Payment (RM) RM 15.00 x 1 RM 15.00 x 7

Contingent Leader
Name: = RM 15.00 = RM 105
Scouting Position:
Total Payment (RM)
RM120.00

Approved by:..............................................
Chief Commissioner / International Commissioner /
State / District Commissioner
Name: Note:

1. For early registration, please send the Contingent Reply Slip by 15 October 2016 to jisfest@gmail.com
2. Early registration is needed for the secretariat to prepare the festival kits.
Received by:.............................................. 3. For walk-in registration, please bring the Contingent Reply Slip on the day of the event.
Director / Secretary 4. All payment and sales will be in Malaysian Ringgit (RM).
1st Johor International Scouts Festval 2016 5. All cash payments and cheque can be made payable to PPM DAERAH JOHOR BAHRU
(AMBANK: 2532022000463)