Registration Form
Prefix ( 称呼 )
Ms. ( 女士 )
Mrs. ( 太太。 )
Madam ( 太太。 )
Mr. ( 先生。 )
Dr. ( 博士 )
Title
Name as in your Passport ( 护照上的名字 )
Address ( 地址 )
City ( 城市 )
State ( 州 )
Post Code ( 邮政编码 )
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belars
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island (Australia)
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faeroe Islands
Falkland Islands (Malvinas)
Fiji
Finland
France
France Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard And McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
IrelandPTION>
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea ( North )
Korea ( South )
Kuwait
Kyrgyzstan
Lao P.Dem.R.
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia And The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Rep.
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State ( Holy See )
Venezuela
Vietnam
Virgin Islands ( British )
Virgin Islands ( US )
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Country
Mobile Phone ( 手机 )
E-mail ( 电子邮件 )
Passport or NRIC Number ( 护照或身份证号码 )
Date of Birth ( DOB ) ( 出生日期 )
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day ( 日 )
January
February
March
April
May
June
July
August
September
October
November
December
Month ( 月 )
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
Year ( 年)
Profession / Occupation ( 职业 )
Nationality ( 国籍 )
English
Bahasa Malaysia
Mandarin
Cantonese
Select Preferred Language ( 选择首选语言 )
Select Competition Category ( 选择比赛类别 ) :
Zen Artistry Competition ( Professional Category )
禅意花艺设计 ( 专业组 )
Competition Category ( 比赛主题 )
Theme Zone 请选择设计一个主题
The Three Realms are like a House of Fire ( 三界如火宅 )
Big White Umbrella ( 大白伞盖 )
The World of Blue Liuli Glass ( 蓝璃世界 )
Sunset Symphony ( 日落观 )
Symmetry in Perfection and Equality ( 圆满平等 )
Lotus Pond of Enlightenment ( 莲池海会 )
Select one Theme Zone 请选择设计一个主题区
Messages ( if any ) If not, just type NIL
IP Number ( IP 号码 ) : 18.97.14.81
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