Calvary B P Church: Bible Conference 2017 Online Registration
Swiss-Garden Hotel & Residences, Malacca, 13th to 17th June 2017 (Tues - Sat)
Each online submission is for one room. If your family needs 2 rooms, please put up 2 separate submissions online.
Please register all guests including infants.
Information of Room Leader
Name as in Passport
Your answer
Preferred Name (to be indicated in name tag)
Your answer
Gender
Passport Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Passport Expiry Date
MM
/
DD
/
YYYY
Room Selection and Rooming Details
Please select your room type
Captionless Image
Number of occupants in the room
Special Request (if any)
Your answer
Contact Details of Room Leader
Mobile Number
Your answer
Do you have What's App
E-mail Address
Your answer
Emergency Contact Details of Next-of-kin
Name of next-of-kin to contact in the event of emergency
Your answer
Contact number of next-of-kin
Your answer
Mode of Transport to Swiss-Garden Hotel & Residences (camp site)
Will the room occupants be driving to the camp site?
If driving, please provide car number
Your answer
Will any occupant travel by coach? (Cost per person (over 1 year old) for each round trip is S$40)
Number of pax travelling by coach
Details of 2nd occupant in the room (if applicable)
Name as in Passport
Your answer
Preferred Name (to be indicated in name tag)
Your answer
Gender
Nationality (For Non-Singaporean only)
Your answer
Passport Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Passport Expiry Date
MM
/
DD
/
YYYY
Mobile Number
Your answer
Do you have Whatsapp?
Details of 3rd occupant in the room (if applicable)
Name as in Passport
Your answer
Preferred Name (to be indicated in name tag)
Your answer
Gender
Nationality (For Non-Singaporean only)
Your answer
Passport Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Passport Expiry Date
MM
/
DD
/
YYYY
Mobile Number
Your answer
Do you have Whatsapp?
Details of 4th occupant in the room (if applicable)
Name as in Passport
Your answer
Preferred Name (to be indicated in name tag)
Your answer
Gender
Nationality (For Non-Singaporean only)
Your answer
Passport Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Passport Expiry Date
MM
/
DD
/
YYYY
Mobile Number
Your answer
Do you have Whatsapp?
Details of 5th occupant in the room (only if it's infant)
Name as in Passport
Your answer
Preferred Name (to be indicated in name tag)
Your answer
Gender
Nationality (For Non-Singaporean only)
Your answer
Passport Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Passport Expiry Date
MM
/
DD
/
YYYY
Submit
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