Swimsafer Booking Test
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SEX  (M / F) *
Required
DATE OF BIRTH *
MM
/
DD
/
YYYY
FULL NAME  (IN BLOCK) *
NRIC (S1234567X) Birth Certificate Number *
SwimSafer Test Application Form For Which Level? *
Required
TEST LOCATION *
Required
PARENT EMAIL *
PARENT MOBILE CONTACT NUMBER *
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