Competition

Registration Form

Registration is closed.

Team Name *

University *

Country *

Team Leader

Full Name *

Date of Birth *

Phone Number *

Email *

Major *

File Upload

*Max file size 4mb
*Allowed file Format PDF

Formal Photo (3x4) *

Click or drag a file to this area to upload.

National ID Card *

Click or drag a file to this area to upload.

Student ID Card *

Click or drag a file to this area to upload.

Team Mate 1

Full Name *

Date of Birth *

Phone Number *

Email *

Major *

File Upload

*Max file size 4mb
*Allowed file Format PDF

Formal Photo (3x4) *

Click or drag a file to this area to upload.

National ID Card *

Click or drag a file to this area to upload.

Student ID Card *

Click or drag a file to this area to upload.

Team Mate 2

Full Name

Date of Birth

Phone Number

Major

File Upload

*Max file size 4mb
*Allowed file Format PDF

Formal Photo (3x4)

Click or drag a file to this area to upload.

National ID Card

Click or drag a file to this area to upload.

Student ID Card

Click or drag a file to this area to upload.

File Upload

*Max file size 4mb

Proof of Payment - Account number: 0063212021 (BCA) under name of Yay Prasetiya Mulya (SWIFT CODE: CENAIDJA) (File Name and Notes: Name of Sender - Team Name ; *NB: The payment is based on your campus' location ) *

Click or drag a file to this area to upload.

Sender's account name *

Competition

Registration Form

Team Leader

File Upload

Team Mate 1

File Upload

Team Mate 2

File Upload

File Upload

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