MALAYSIA 2014 29TH ASIAN INTERNATIONAL STAMP EXHIBITION EXHIBIT APPLICATION FORM 1 - 6 DECEMBER 2014

Fill in a separate form for each exhibit. Please print or type in block letters. This Exhibit Application Form must be returned through the Commissioners to reach the Commissioner General by 11 April !1" at the address belo#$ Address c7o -ak >ok Choeng< /eputy Commissioner General< * ?alan @.? "71-< "A&!! .ubang ?aya< .elangor< -alaysia Telephone %&! 1' '(!)!"* #orldyouth !1"Bgmail.comC lkcmakByahoo.com

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.urname /ate of birth 0for youth exhibitors1

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Title of this exhibit 0in English1

Pre2ious title

.hort description of the exhibit 0in English1

11 3ntroduction page included +es ,o 1 Philatelic 4iterature Exhibit 3nformation Form included 0only applicable for 4iterature exhibits in Class 111 Exhibit class ,umber of frames applied for /imensions of sheets 0in cm1 5 PAST AWARDS RECEIVED 4G

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3nternational F3AP7FEPA7F3AF7 9orld 0F3P1 Exhibitions

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,ational Exhibitions

The undersigned 0Exhibitor1 hereby 011 agrees to accept all F3P :egulations 0G:E;< G:E8< .:E8.1 and the indi2idual regulations 03:E;1 applying to -A4A+.3A !1" 0 1 confirms that the exhibit is o#ned by me 0G:E; Article 11. 1 /ate Commissioner=s declaration :emarks .ignature

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.ignature >uala 4umpur Con2ention Centre Exhibition Dall 1 E 0Address$ ?alan Ampang< )!!(( >uala 4umpur< 9ilayah Persekutuan >uala 4umpur< -alaysia1 The exhibit #ill be deli2ered by commissioner.

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