The Outstanding Young Malaysian 2012
JCI TOYM :Anugerah Cemerlang Belia Malaysia :马来西亚十大杰出青年奖
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Pre-Entry Online Form

Nominee's Particular

Nominee's Name (required)

Nominee's Birth Date (required)

Nominee's Contact (required)

Nominee's Email (required)

Award Category (required)

 

Nominator's Particular (NOT Same Person as Nominee)

Nominator's Name (required)

Nominator's Contact (required)

Nominator's Email (required)

SUBMITING PRE-ENTRY FORM (for indication purpose only)

Before you submit your full nomination form (including with your profile), send us a Pre-Entry Form for the organization to process your entry. The Organizing Committee will contact you as soon as possible.

Processing fee: RM 500/nomination
(Crossed cheque make payable to Junior Chamber Kuala Lumpur Mandarin or bank in to Public Bank Bhd A/C No.3140930602 )

More info, please contact:

Ms Louise Cheah 016-2255 100

Ms Elize Low 012-3177 980

  

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