Sewadars - Kampung Pandan Mini Samelan 2018

Email address *
Sewadar Online Registration
Full Name (follow your IC) *
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Home Address (follow your IC) *
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NRIC Number *
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Contact Number (Mobile) *
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Choice Of Sewa *
Emergency Contact Name *
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Emergency Contact Number *
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Medical Condition *
Consent (Please read the below before continuing) *
I accept & I participate in this camp at my own risk and that the Organizing Committee will not be liable for any loss, damage, action, claim, cost or expense which I suffer or incur as a result of participating in this camp. Please insert your name in the box as acknowledgement.
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A copy of your responses will be emailed to the address you provided.
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