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Personal Details Passport Photo (max size 2mb) Name IC / Passport No Date of Birth (dd-mm-yyyy) GenderMaleFemale Blood Type---O+A+B+AB+O-A-B-AB-Not Sure Nationality Contact Details Address Home Phone Mobile Phone Email Website (Optional) Emergency Contact Name Relationship Contact No Other Information I authorise my name to be used as part of the Civil Defense and other emergency organisations list that the club hold and agree to be contacted in the event of an emergency I authorise my name and address to be passed on to suppliers for discounts at the discretion of the committee * *Registration fee only payable upon membership approval by Club Committee
Passport Photo (max size 2mb)
Name
IC / Passport No
Date of Birth (dd-mm-yyyy)
GenderMaleFemale
Blood Type---O+A+B+AB+O-A-B-AB-Not Sure
Nationality
Address
Home Phone
Mobile Phone
Email
Website (Optional)
Relationship
Contact No
I authorise my name to be used as part of the Civil Defense and other emergency organisations list that the club hold and agree to be contacted in the event of an emergency
I authorise my name and address to be passed on to suppliers for discounts at the discretion of the committee
* *Registration fee only payable upon membership approval by Club Committee
