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Fitness Retreat - Surabaya, Indonesia
9th - 12th August 2024
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NAME (As per passport)
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Your answer
GENDER
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Choose
Female
Male
DATE OF BIRTH
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MM
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DD
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YYYY
ADDRESS
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Your answer
EMAIL
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MOBILE NUMBER
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Your answer
EMERGENCY CONTACT PERSON
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EMERGENCY CONTACT NUMBER
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TYPE OF ROOM
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SINGLE @ S$1199.00 / PAX
DOUBLE @ S$999.00 / PAX
Sharing with … (Write NA if single room)
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PASSPORT NUMBER
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Your answer
ISSUE DATE
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MM
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DD
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YYYY
EXPIRY DATE
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MM
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DD
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YYYY
COUNTRY
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PAYMENT
30% upon registration
$360 (Single) $300 (Double)
50% by 1st April 2024
$600 (Single) $500 (Double)
20% by 1st June 2024
$239 (Single) $199 (Double)
Dynamic Cultural Exchange Pte Ltd
OCBC Current Account :
601885486001
UEN : 201911313Z
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BANK TRANSFER
PAYNOW (UEN : 201911313Z)
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NOTE:
Upon registration, please proceed to make the initial payment of 30%.
Kindly send a screenshot of the transaction to 81646666 (Maggie)
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