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Attendance Type : Malaysians / Malaysians Students / Foreign participants Payment By : Cash / Bank Transfer / Cheque / Bank Draft

…………………………………………………. ………………………………………………. Signature Date

• Please make payments to – PERSATUAN SEJARAH MALAYSIA- Account No: 5640 9880 3550- Malayan Banking Berhad (Maybank), Jalan Raja Muda, Kuala Lumpur

• Kindly email the payment receipt / bank-in slip to psejmal@gmail com• The complete registration form with payment must be submitted to the secretariat

(psejmal@gmail.com) before 23 August 2019

-REGISTRATION FORM- ICHCC-SEA 2019

6rd INTERNATIONAL CONFERENCE ON HISTORY AND CULTURE History and Culture in Pre-Colonial Malay Archipelago