Online Registration Form

Name *

First

Last

Full Name *

Please enter your full name as you would like it to appear on your certificate of attendance

Username *

Email *

Email

Confirm Email

Password *

Password

Confirm Password

Title

Ms, Mr, Dr, etc.

Position *

Professor, Director, Student, Government official, NGO official, etc

Organisation / University *

Address *

Address Line 1

Address Line 2

City *

State

Postcode *

Country *

Discipline *

Please tell us a little about yourself *

Please include a brief bibliography of yourself of not more than 100 words.

Photo

Please include a recent photo of yourself.

Are you a Malaysian? *

Do you need a letter of invitation for the visa application?

Are you a student? *

Are you a undergraduate or postgraduate student?

What is the name of the programme you are studying?