Gastric Cancer Public Forum 2016 胃癌公开讲座报名表 2016
Thank you for your interest to attend our public forum. Please use this form to register for the English or Mandarin session.

Please note that registration is on a first come, first served basis. You are only allowed to register and attend one session, either the English or Mandarin session.

By completing this form, I consent to allow Singapore Cancer Society (“SCS”) to collect, use, disclose and/or process my personal data in order to process, administer, facilitate, maintain and/or manage my relationship with the organiser as a member, volunteer, programme participant, beneficiary and/or donor (“Purpose”), including communications on our activities, programs and services and donation requests; carrying out research, analysis and development activities for our purposes; and making disclosures required by law or a competent authority. We may disclose my personal data to its third party service providers and/or agents, which may be sited outside of Singapore, for the above Purpose.




* Due to overwhelming response, registration for the English session is now closed. Please call 6421 5860 to be on the waiting list. Alternatively, the Mandarin session is still open for registration. Thank You.

I would like to attend the English / Mandarin session on Saturday, 13th August 2016 我想参加英语 / 华语, 八月十三号的公开讲座。 *
Personal Particulars
NRIC 身份证号码 *
Your answer
Salutation 称呼 *
Your answer
Surname/ Last Name 姓 *
Your answer
Name 名 *
Your answer
Mobile Number 联系电话 *
Your answer
Email Address 电邮地址
Your answer
Residential Address 地址
Your answer
Postal Code 邮区号码
Your answer
Gender 性别
My Race is 我的种族是
My age group is 我的年龄是
I learnt about this public forum from 我通过以下途径获知讲座 *
Is this your first time attending a cancer talk organised by Singapore Cancer Society? 这是您第一次参加由新加坡防癌协会主办的癌症讲座吗?
I would like to be kept informed on future cancer forums, talks and events by SCS 我愿意获知新加坡防癌协会未来的讲座以及活动详情
I would like to be informed through: 我想通过此通道得知详情:
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