REGISTRATION FORM (GROUP PASS) APPLIED 4.0: DIGITALIZING EMERGING TECH CONFERENCE Date: 17 & 18 March 2020 Venue: Sunway Putra Hotel, Kuala Lumpur Details of Participant 1 out of 4 Designation Name per I/C or Passport Gender Gender Female Male Work/ Personal Email Mobile Number Meal Preference Meal Preference Normal Diet (No restrictions) Vegetarian Other If Other, please mention here. Next Participant 2/4