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Collaboration Registration Form
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Organization Name:
*
Contact Person:
*
Position/Title:
*
Email Address:
*
Phone Number:
*
Address:
*
Type of Event:
*
Session
Seminar
Workshop
Training / Course
Event Title:
Event Date(s):
Event Location:
Expected Number of Participants:
Selected Value:
10
Event Expenses Covered by Organization:
*
Venue
Equipment
Materials
Refreshments
Travel and Accommodation for DAY Representatives
Daily Allowance (DA) for DAY Representatives
Technical Assistance (TA)
Feedback Collection Method:
*
(Please describe how you plan to collect feedback post-event.)
Venue Information:
*
School/University
Community Center
Government/Non-Profit Organization
Corporate Office
Tech Hub/Incubator
Online Platform
Additional Notes/Comments:
Declaration
Agree
I, the undersigned, declare that the information provided in this form is true and accurate to the best of my knowledge. I understand that providing false information may result in the withdrawal of the student’s admission.
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