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*
Mandatory Field
A. Event Information
*
Event Name
*
Brief Description
*
START
Date
01
02
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31
January
February
March
April
May
June
July
August
September
October
November
December
2022
2023
*
FINISH
Date
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
2022
2023
*
Exhibition Time
FROM
01
02
03
04
05
06
07
08
09
10
11
12
00
15
30
45
AM
PM
TO
01
02
03
04
05
06
07
08
09
10
11
12
00
15
30
45
AM
PM
*
Venue
(Please enter the full address)
*
Facilities Provided
Table
unit(s)
Chair
unit(s)
Table Cloth
Plug Point
unit(s)
Display Board
unit(s)
WiFi/Internet Connection
*
Exhibition/booth Area
x
feet
*
Event Objectives and Goal
*
Total number of exhibitors
B. Audience
*
Target Audience
Kids
Youths
Parents
Adults
Organizations
Mixed
*
Background
IT
Non-IT
Mixed
*
IT Knowledge
Basic
Intermediate
Advance
Mixed
*
Expected No. of Audience/Attendees
*
Age group
05-12
13-17
18-35
36-50
>51
Mixed
C. Contact Information
*
Name of Organisation
*
Contact Person
*
Contact Number
*
Email
D. Remarks
Additional comments or expectations from Cybersecurity Malaysia participation
*
Please email us the event agenda and floor plan at cybersafe@cybersecurity.my
Upon submission of the form, our officers will get back to you to confirm our participation and/or other arrangements/enquiries
*
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