Name of Applicant Name of NGO / School / Institute / Government / Agency Address Phone Fax E-mail Contact Person Name Contact Person Phone Group Leader Name Group Leader Phone Members Number of Members Date of Usage Time of Usage Purpose List of Venue/Equipment List of Venue Dewan G.C Woolley (RM100 per hour) Dewan G.C Woolley (RM100 per hour) Bilik Mesyuarat Kinabalu (RM30 per hour) Bilik Mesyuarat Kinabalu (RM30 per hour) Pentas Mat Salleh (RM70 per hour) Pentas Mat Salleh (RM70 per hour) CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question 18 + 1 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. Submit