DRAW YOUR OWN DOODLE ABOUT

Celebrating Malaysia’s Diversity

TITLE OF YOUR DOODLE (10

WORDS MAX)

PLEASE TELL US briefly how your doodle expresses the theme “Celebrating Malaysia‛s diversity”

STUDENT NAME

PARENT/GUARDIAN NAME

STUDENT AGE

ADDRESS

DATE OF BIRTH

SCHOOL NAME

PHONE

SCHOOL PHONE NUMBER

EMAIL

SCHOOL ADDRESS

PARENT/GUARDIAN SIGNATURE

DISCLAIMER: By signing this submission form, I acknowledge that I am a parent/legal guardian of the entrant and give my permission for them to enter the Doodle 4 Google Malaysia 2017 contest. I have read and accept the Official Doodle 4 Google Contest rules located at g.co/D4GMalaysia and acknowledge that Google's Privacy Policy located at www.google.com/intl/en/policies/ applies. I confirm that the entrant is eligible according to the contest rules.

g.co/D4GMalaysia