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Coordinator Registration

Please fill out the form below carefully with accurate details to complete your registration as a Coordinator Partner.

✅ Ensure all required fields are filled.
✅ Double-check email & phone number for smooth communication.
✅ After successful submission, you will receive a confirmation email from our team.

Let’s work together to inspire and shape the bright future of young learners!

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Personal Details

Date of Birth:
Gender
Address

Professional Details

Do you have experience in education/marketing/sales?

Other Information

How many schools can you initially approach?
How did you hear about Mindbenz Olympiad Junior?

Declaration

Declaration
Declaration (copy)