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  Eco-Schools Online Registration Form

Note: When you click SUBMIT, you will get a copy in your email as our acknowledgement. Please print out your email copy and have your Principal/Headmaster sign, chop and fax the signed copy to us also (Fax: +603 7450 3777)

Eco-School Registration Form
Name of School: *
Type of School: *
Location: * Urban Rural
Address: *
District: *
GPS Coordinate: Lat:
Lng:
[ Click to open map | Clear Lat/Lng ]
Telephone: *
Fax: *
Mobile:
Correspondence Email: *
Name of Principal: *
Name of Teacher Coordinator: *
Total Number of Students in your school: *
Total Number of Teachers in your school: *
How did you know about this Eco-Schools Programme? *
Comments:
Verification Code*