CINTA ABADI Marriage Preparation Form               Dates available in 2021                                                              
IMPORTANT NOTICE: Due to Circuit Breaker Measurements, all in-class training sessions HAVE BEEN SUSPENDED indefinitely until further notice by the Singapore Government.                                                

Course Registration Form      
All required information is marked by *  
Please take note that this course is meant for those who have NEVER been married anywhere before.
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Email *
*Please note that this registration form is for ONE PERSON only. YOUR PARTNER MUST register online separately too.
I am keen to join the ONLINE (only) MPC course on: *
Tentative / Confirmed Nikah date *
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Name (as in IC / passport) *
Identity Card / Passport No. *
Date of Birth (dd/mm/yy) *
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Telephone No. (Home)
Mobile No. *
Address *
Postal Code *
Citizenship (Please tick) *
Marital Status (Please tick) *
If widow(er) / divorcee, no. of children aged below 21 years (type NIL if inapplicable):
Occupation (Please tick) *
Name of future spouse: *
E-mail Address of Future Spouse *
Citizenship of Future Spouse (Please tick) *
Marital Status of Future Spouse *
Mode of Payment :PAYMENT METHODS ($110 PER PERSON - full payment to be made within 3 days upon registration.  Please note that confirmation of your place in the course is based on our receipt of your full payment). Please make payment to: *
Amount of Payment:S$_____ (There will be no refund.  However, you may transfer your place to another couple at least 14 days before the start of course date. Only one postponement date is allowed.  Failure to attend on the postponed date will lead to total forfeiture of the course fee paid. *
SELF DECLARATION (ALL COURSE APPLICANTS MUST COMPLETE) *
Required
I found out about MPC programme by Prowise from: *
Required
Special Note: * Certificate will only be given with 100% attendance*                                              
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Date of Application *
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Thank you for your registration.  We'll send you a confirmation e-mail once we received your payment.  Please note that confirmation of your participation will be based on our receipt of your payment.
*Note:  Class will commence only when we have 3 couples registered (6 Sep class will commence) *
A copy of your responses will be emailed to the address you provided.
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