New Media Academy 2010

To register for New Media Academy, please fill the form below
Participating School: *
Teacher-in-charge: *
Contact No: *	(O)	(HP)
Email Address: *

Please tick if you would like to opt for the
New Media Ambassador Mentorship Programme

Please fill the details of participants above

	Name of participant:	Contact no.	Specialisation	Prior Experience
	e.g. Tan Siow Lin	9123 4567	Digital Filmmaking	Y/N
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

* denotes compulsory field to fill in.

Please ensure that all fields are filled in appropriately. Incorrectly filled registration forms will be rejected.