Committee Registration - MRSM Kubang Pasu Mock Interview

Committee Recruitment Form

Committee Registration

Mock IV MRSM Kubang Pasu
9 - 10 October 2026 (Friday & Saturday)
Location: MRSM Kubang Pasu, Kedah
Event size: 108 participants
Inquiry: 011 - 6381 3281 (Ammar)

Personal details

Full Name

Short name (Max 8 characters)

The name we may call you, mainly for nametag. Not necessarily your proper name, but keep it professional.

IC Number

Phone no.

We will use this number as the main form of communication.

Committe member details

SPM year

Occupation / IPT name

Put "SPM" if you are currently waiting for for SPM or IPT intake result or yet to be employed.

T-shirt size

Role Preference

Actual assignment may vary depending on event requirements and availability.

I wish to take part as interview panel as well

You will be automatically redirected to panel registration form after you submit this form.

Health issues

You may state any applicable dietary restrictions or medical conditions that you think we should know. Otherwise please leave it blank.

Dietary restrictions or allergies

Medical Conditions

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