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REGISTRATION FORM

A SEMINAR ON THE EDUCATION OF HISTORY

We Care for Educating the Future Generation through the Museum Media to Build the Nation Character

Wednesday, 21 July 2010

Please fill in your this registration form by completing the data as follows :

Name :

Place/Date of Birth :

Sex :

Occupation :

School/Institution : Address of School/Institution :

Email address :

Telephone :

Mobilephone :

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