1. Zoom Live Class Date / Tarikh Kelas

2. Registrant Name / Nama Pendaftar

3. Partner's Name / Nama Teman

4. Email / Emel

Please ensure you enter a valid email address as we will send the webinar access link to you!

5. Phone Number / Nombor Telefon


6. How did you know about our Webinar?

7. Are you Pregnant? / Adakah anda hamil?

8. Your Date Of Birth / Tarikh Lahir Anda

9. Home Address / Alamat Rumah

10. Postcode / Poskod

11. City / Bandar

12. State /  Negeri

13. Are you currently consuming any Maternal Milk? / Adakah anda sedang mengambil susu ibu?

Upon registration, a confirmation email will be sent with the Zoom link to join this webinar 1 DAY BEFORE the event date. If you have registered but did not receive the webinar link, please WhatsApp +60143608115 for assistance.

Sample Limits to the First 200 Registered Participants