Hearing the Voice of God Retreat Registration Form (2023)

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Closing Date: 2 April 2023 (or when registration is full)

Email *

PDPA Consent Statement

By filling up this form you have voluntarily given your consent for the collection, use and disclosure of your personal data to the church. The data collected is limited to what is necessary for administrative purposes and to facilitate the carrying out of church activities. It is kept confidential and will not be disclosed to a third party.

Participant's Details

Please ensure your passport is valid for at least 6 months after the last day of the Retreat. You will need your passport details to fill in this registration form.

Full Name (as in passport) *

Preferred Name (for name tag) *

Mobile Number *

Nationality *

Gender *

Female

Male

Date of Birth (DD-MM-YY) *

Passport No. *

Passport Expiry Date (DD-MM-YY)

Church Membership (e.g. SJSM) *

Which Cell Zone are you in? *

Zone 1 (Ps Lim Ai Yee)

Zone 2 (Ps Richard Lau)

Zone 3 (Ps Vincent Hoon)

Zone 4 (Ps Choo Kok Weng)

Zone 5 (Ps Chung Lai Mei)

Zone 6 (Ps Simon Devaraj)

Zone 7 (Ps Patrick Lai)

Zone 8 (Ps Choo Kok Weng)

Heartbeat (Youth)

Not in cell/ Not applicable.

Accommodation -- Room Type *

Twin-sharing (2 beds)

Double-sharing (1 King's bed)

Single Room (1 King's bed)

Name of room-mate (if any)

Two-way Bus Transport *

Yes

No. I will make my own transport arrangement.

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