Notetaking Service Request Form
Version: 10 Feb 2016
Request Details
For Batch Requests (meaning your request consists of more than one date), please fill in details of the FIRST class/event in this form below and submit your form.
Next, please download the batch schedule template at http://goo.gl/C7MpwC. Please fill in the batch schedule and email the completed schedule to notetaking-service@sadeaf.org.sg.
Date of Service *
MM
/
DD
/
YYYY
Time *
Enter a start and end time. Eg: 3pm - 6pm
Your answer
Module Code - Module Name / Event Name *
Example: ST1001 - Database Management Systems Lecture OR ACRA Meeting
Your answer
Venue *
Please specify full address including block number, room number or LT number
Your answer
Description
Your answer
Client Details
Client refers to the deaf individual receiving the service.
Full Name *
Please enter your full name as it appears in your NRIC.
Your answer
NRIC/FIN *
Your answer
Contact No *
Your answer
Email *
Your answer
Preferred Mode of Communication
I am a SADeaf member and I would like to use the membership benefit for this request. *
Note that membership benefit is only applicable if the client is paying for his/her own request.
Requestor Details
You may leave the following fields blank if you are requesting the service for yourself. Otherwise, please complete all the fields.
I am: *
Requestor Full Name
Your answer
Institute/Organisation
Your answer
Designation
Your answer
Contact No
Your answer
Email
Your answer
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