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introduce Event Registration Form

Details given are strictly confidential. Information will not be passed on to a third party in any form which might be traced back to you. It will only be used for the society's purposes in furthering your interest. Your name and email address will not be made available to anyone else, nor used by us for any other purpose.

Please fill out the form completely and accurately
1.Event
2. Title
3. Surname
4. Other Names
5. Are you a member
If you are a member, please proceed to question 14. If you aren't, please proceed to the next question but skip question 14
6. Gender Male Female
7. Date Of Birth
8. Marital Status
9. Course Of Study
10. Level
11. E-mail Address
12. Contact No
13. Address
14. Membership No
15. Next Of Kin's(NOK) Name
16. NOK's Relationship
17. NOK"S Contact Address




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