SSEAYP INTERNATIONAL BRUNEI DARUSSALAM: REUNION ON BOARD

The Alumni Association of the Ship for Southeast Asian Youth Program of Brunei Darussalam

- Please fill in all blanks with relevant answers
- All information will be kept strictly confidential
- The HQ will be open from 5-8pm daily for payment and registration of ROB Brunei guests. For international guests, however, please send via money order to:

ROB SECRETARIAT
No. 10 Block C3, Anggerek Desa Flat,
Berakas, Brunei Darussalam.

- For any queries and questions regarding the form, please contact IT support at maurina@gmail.com

* Required

REUNION ON BOARD REGISTRATION FORM

Please write in capital letters

Name * Please write down your full name as it appears in your Identity Card

IC Number * e.g. 00-234567

Country of Origin *

Date of Birth * dd/mm/yyyy

SSEAYP Batch Year * The year you joined SSEAYP

Registration Fee * Choose one that applies to you

For registered BERSATU members (BN$5.00 only)
For BPYs who are not registered with BERSATU (BN$10.00 only)
For PYs from countries other than Brunei (BN$15.00 only)

Contact Details

Residential Address *

Postcode *

Contact number * Enter the phone number (673 8 88xxxx) that you wish to be contacted on

E-mail address * Please enter a valid email address.

IMPORTANT

I understand that if I do not pay the amount stated for the registration fee in 3 days starting from today's date either by cash or money order, I withdraw my booking and my name will be cancelled from the ROB Brunei guest list. *

I agree