Registration for Small Group Interest

GENERAL CONSENT STATEMENT
Wesley Methodist Church is committed to safeguarding your personal information.
In submitting this form, you agree and consent to the use of your information for Church activities, programmes and services.
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PLEASE NOTE:
I consent to register for the course/program/activity through the use of Google forms and agree to the terms and conditions set out by the company.
Refer: http://www.google.com/intl/en/policies/terms/

Full Name as in NRIC *
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Contact Number *
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Age *
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Email Address *
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Marital Status *
Gender *
Occupation *
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Home Address *
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