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UTB Video Competition Entry Form 2018
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* Indicates required question
Option 1
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Full Name
*
Your answer
IC Numbers
*
Your answer
Additional Team Member
Your answer
Gender
*
Male
Female
Contact Number
*
Your answer
Competition Categories
*
Short Video
Long Video
Video Theme/Title
*
Your answer
Description of Video (less than 100 words):
Your answer
Video Link (Video must be unlisted on YouTube)
*
Your answer
Declaration
1. I/My team hereby declare that all contents of the video are originally made. If the composition infringes any regulation regarding copyright, I/my team will bear the responsibility and understand that I/my team will be disqualified.
2. I/My team understand the obligation to obey all rules and regulations of the competition.
3. I/my team hereby declare that all information provided above is true and correct to the best of myknowledge. In any case that the above information is found to be false, I am/we are aware that I/we will be held liable.
4. Yes, I have read the competition rules and agree to comply with the specified terms and conditions
*
Agree
Required
Print name
*
Your answer
Date of Submission
*
MM
/
DD
/
YYYY
Last day of submission is 5th September 2018
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