Registration Form

Registration for any of the CHOICE KL Weekends is now OPEN. Places are limited to 40 participants. Please register early to avoid disappointment. Please complete the Online Registration Form

Payment Details
1) Register via online registration or email the duly completed downloaded form. Please ensure that your contact number and email address is accurate.

2) We will contact you via email or mobile phone (direct call, SMS, Whatsapp etc..) to send you the bank account details for payment.

3) Send us the proof of payment via email or whatsapp

4) If you do not hear from us, kindly email us at choiceklrecruitment@gmail.com

Thank you.

Choice Weekend *
Name as in IC *
Your answer
Preferred Calling Name *
Your answer
IC Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Race *
Your answer
Gender *
Marital Status *
Occupation *
Your answer
Religion *
Parish
Your answer
Address *
Your answer
Special Diet
Your answer
Transportation Needed *
Home Telephone No.
Your answer
Mobile Telephone No. *
Your answer
Office Telephone No.
Your answer
Email address *
Your answer
Emergency Contact No. *
Your answer
Emergency Contact Person *
Your answer
Parents' Contact No *
Your answer
Parents' Address *
Your answer
Recommended by:
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Comments and/or questions
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