Professional Documents
Culture Documents
14 16 Dec 2013
2. I/C No. 3. Age : 4. Gender : Male / Female 5. Email : 6. Handphone : 7. Home Tel No.: 8. Home / Postal Address :
14. I/C No. 15. Relationship with Applicant : Father / Mother / Guardian 16. I hereby declare that my son/daughter/ward is medically fit to undergo the camp. YES / NO. 17. I declare that my son/daughter/ward has the following medical condition/s. ( ) Gastric/Asthma/Allergy/Others.. 18. In case of emergency, I may be contacted at : Tel.1 _________________Tel. 2.__________________ 19. Signature : 20. Date : For office use only Date Cash Amount RM Chq No. Receipt No. Officer : Note :
Post Code : 9. Do you have any medical condition/s, allergies or require special diet ? NO / YES (pls state). 10.I hereby agree to be fully committed to participate in the GenY EQ Camp and abide by the Camp ground rules. I declare that all the above is true. 11. Signature : 12. Date :
Pls register with Ms Yip 05-5469715 / Mabel 012-534 0063 / GenY School Ambassadors. Please make cheque / monies payable to : PERSATUAN GENERASI MUDA PERAK
The Fine Print Closing date is dependent on availability of camp slot. Applications must be accompanied with full camp fees. All fees paid are not refundable but transferable. Availability of camp slots is limited to 35 pax ONLY. Pre-Camp instructions will be given 3 days before camp.
Reflection Time Goodnite Monday 16 December 2013 Morning Call Breakfast Group Dynamics EQ Leadership Level 4.1 ( STRENGTHENING ) Lunch EQ Leadership Level 4.2 Camp Closing Approx. time reach Ipoh 7.00 pm ( The schedule above is subject to changes.)
1. Clothes ( t-shirts, short & long pants, a sweater as nights are cold ). 2. Shoes ( 2 pairs sports wear, socks, slippers ) 3. Personal items ( sleeping bag, daypack, water bottle, spare spectacles / lenses, small torchlight with new batteries, toiletries, continuing medication, if required.)
Things to bring
( Please keep this part for reference ) Please login to GenY Website to read about us @
geny-perak.webs.com