Jury Registration Form
Mr.
Mrs.
Ms.
Professor
Associate Professor
Dr.
Ts.
Ir.
Associate Professor. Ts. Dr.
Associate Professor. Dr.
Professor. Ts.
Associate Professor. Ts.
Ts. Ir. Dr.
Ts. Ir.
Assistant Professor. Dr.
Salutation
Full Name
Email
Contact Number
Department / Faculty
University / Institution / Industry / Organization
Select Your Entry Categories and Judging Themes:
Participant
Entry Categories
You may select more than one option. (Please select not more than 2)
Rocket Building
Themes
You may select more than one option. (Please select not more than 3)
"How many times have you served as an innovation jury member? For example, 4 times."
0
1
2
3
4
more than 4
Are you also registered as a participant in Meta-Rise 2025?
No
Yes
SPECIALIZATION
Example: IoT, data science, multimedia learning, telecommunication, renewable energy, material science, engineering, human resource, leadership, linguistic/translation etc.
DECLARATION:
I certify that i have no conflict interest with any project registered in the Meta-Rise 2025
Yes
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