entry form

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MINES MENSA SCRABBLE CHALLENGE 2008
Jointly organized by the Malaysian Mensa Society and
Mines Shopping Fair
Date:
Venue:
16th August, 2008 (Saturday)
MINES Shopping Fair
Level 4
228, Jalan Dulang
MINES Resort City
43300 Seri Kembangan
Selangor Darul Ehsan
(For sitemap: www.msf.com.my)
Venue and Prizes sponsored by: MINES Shopping Fair Sdn Bhd
Acknowledgments to:
Mattel SEA Pte Ltd
Organising Chairperson: Ms Goh Siu Lin
Tournament Directors: Alex Tan Ken Seng
Ganesh Asirvatham
PROGRAMME
MASTERS CATEGORY
NON-MASTERS (INTERMEDIATE)
and FUN CATEGORY
9.30am:
Round 1
Round 2
Round 3
Registration
10am-11am
11am-12am
12am-1pm
9.30am:
Round 1
Round 2
Round 3
Registration
10am-11am
11am-12am
12am-1pm
Lunch
1pm-2pm (Not provided)
Lunch
1pm-2pm (Not provided)
[1.15pm Mensa IQ Test (40 minutes)
36 multiple choice questions]
[1.15pm Mensa IQ Test (40 minutes)
36 multiple choice questions]
Round 4
Round 5
Round 6
Round 7
Round 4
Round 5
Round 6
2pm-3pm
3pm-4pm
4pm-5pm
5pm-6pm
2pm-3pm
3pm-4pm
4pm-5pm
5.15pm Mensa IQ Test (40 minutes)
Prize Presentation
(6pm)
NO ENTRANCE FEES WILL BE CHARGED FOR PARTICIPATION!!
Entry Forms and Game Rules may be downloaded from our WEBSITE: www.malaysianmensa.org
MENSA ADMISSION TEST FEES: RM35.00. [For Mensa Admission Test enquiries, please contact
our Chairman and Mensa testing coordinator: Mr. Low Keng Lok (HP: 019-2749363 /
testing@malaysianmensa.org)]
REGISTRATION RULES
a.
The Competition is open to all Malaysians and non-Malaysians above the age of 6 years as at
16.8.2008.
b.
All entries (email entries/photocopies acceptable) must be submitted via email to
siulin.mensa@gmail.com or alextankenseng1971@yahoo.com by or before 12noon, 15.8.2008 (Friday).
c.
The Competition will be limited to the first 40 entrants (total for both Categories) to register.
Additional entrants will be put on a Reserve List.
This Competition will comprise of 2 simultaneous tournaments: (a) Masters’ Category: open to all
players, (b) Non-Masters’ Category: open ONLY to those who are NOT listed as “Masters” Players
according to the Organisers. No repeat games.
d. The Organisers reserve the right to accept or reject any entry without having to state any reasons.
e.
All participants are to bear their own costs of transport, food, drink and accommodation, etc.
f.
Scrabble ORIGINAL sets and clocks will be provided.
g.
The Organisers disclaim all liability for including, but not limited to, inter alia, theft, damage to
property or personal injuries arising during the course of the Competition which shall be borne solely
by the participant.
h. The Organisers reserve the right to make any additional regulations, addenda or changes and such
changes shall be binding on all participants with immediate effect. All participants must abide by all
the rules and regulations of the Competition. ALL DECISIONS OF THE ORGANISERS SHALL BE
FINAL. NO PROTEST OR CLAIM WILL BE ENTERTAINED UNDER ANY CIRCUMSTANCES.
ENTRY FORM
(photocopy acceptable)
I wish to participate in this Competition and agree to abide by all the Rules and Regulations of the
Organisers. I would like to take part in the following category:Masters I
(
)
Non-Masters (Intermediate)
(
)
Masters II
(
)
Fun
(
)
I am (
) a member of the Malaysian Mensa Society.
) am not (
I would / would not be interested to take the Mensa Admission test.
NAME: ……………………………..…………………………..
MEMBERSHIP NO: ………….……………….
I.C./PASSPORT NO.: ………………………………………..
SEX…….………………….……………………..
NATIONALITY: …………………………………….…………. DATE OF BIRTH: ……………………………..
ADDRESS:
..……………………………………………………….…………………….…………………………………………..
……………….………………………………………………………………………………………….……………….
PHONE NOS (Office) ……………….…….. (House) ……………………….… (Handphone)
………………………….…..
EMAIL: …………………………..………………...................
SIGNATURE (Participant): ……………………....………....
You may email your forms to: siulin.mensa@gmail.com or alextankenseng1971@yahoo.com
In the event of any enquiries on the tournament, please do not hesitate to contact Ms Goh Siu Lin at 0178858398/03-2072 5808 / email: siulin.mensa@gmail.com or Mr. Alex Tan Ken Seng at 012-2317181/ email:
alextankenseng1971@yahoo.com
For queries on taking the Mensa admission tests and membership, please contact the Mensa office at 037880 1488/ email: mensa@po.jaring.my.
You may also contact Mr. Low Keng Lok HP: 019-2749363 /testing@malaysianmensa.org. MALAYSIAN
MENSA SOCIETY, B-2-10 Dataran Glomac, Jalan SS6/20, Kelana Jaya, 47301 Petaling Jaya, Selangor
Darul Ehsan.
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