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Home > Bingo Nite > Event Registration
EVENT REGISTRATION
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Event Bingo Nite
 
Date 12 March 2010
 
Time 7:30pm - 10:30pm
 
Venue Savannah Lounge @THE CHEVRONS, Level 2
 


Participant Details (Individual)
 
No. Name Gender NRIC Contact No. Category Fees
1

Registration Details
 
Contact Person* :
NRIC/Passport No.* :
Unit :
Contact No. : (H) (O) (HP)
Fax :
Address :
Email* :
Remarks (Optional) :
* Compulsory fields
  I have read and agree to the Declaration

 

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