This form must be printed and to be addressed to:
Inspirational Scholar Symposium
University teaching and Learning Centre (UTLC)
Universiti Utara Malaysia
Kedah Darul Aman.
Tel: 04-928 4701/ 4707/ 4690 | Fax: 04-928 4702
E-mail: email@example.com / firstname.lastname@example.org
For payments with Government Order (LO), the participant must submit a letter from the employer for the purpose of registration (undertaking letter)