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BM National Science Center - Form & Booking
School Program's booking form
School's Information
School's Name*
Address*
Phone No.
Fax No.
State / Country *
School's Email
     
Contact Information
Teacher in-charge's Name*
Mobile No.*
Teacher in-charge's Email*

    Additional Teacher's Name (1)
    Mobile No.(1)

    Additional Teacher's Name (2)
    Mobile No. (2)
    School's Category *
    Pre-School

    Primary School

    Secondary School

       
    Program*
    Creativity & Innovation

    Science Communication

    Science Wonder

    Science Trend

    Nature Secret

    Budding Scientist

       
    Date, Time & Place
    Date*

    Time / Session*

    Place*
       
    Number of Student / Participants*
      Students x 0.00 0.00
      Teachers x 0.00 0.00
    TOTAL (RM) 0.00

       
    Captcha*