PSG Membership Application Form
Xingnan Primary School Parent Support Group (PSG)
5 Jurong West St 91, Singapore 649036
Email address *
Note:
Each parent should only submit ONE application. If you have more than one child studying in Xingnan Primary School, just indicate his/her name and class in this same form. Thank you!
Name of Applicant (as shown in NRIC/Passport) *
Your answer
Relationship to Child/Children *
Nationality *
Race *
Email *
Your answer
Highest Qualification *
Occupation: *
Your answer
Phone number ( mobile) *
Your answer
Phone number (home):
Your answer
Phone number (office):
Your answer
Snail mail address
Address line 1: *
Your answer
Address line 2:
Your answer
Postal Code: *
Your answer
Special Interest/Talent (e.g. dancing, music, sports skills, art/craft. etc/):
Your answer
Are you a former pupil of Sin Nan Public School or Xingnan Primary School? *
Required
Name of child/children currently studying in Xingnan Primary School:
Child1 (Name): *
Your answer
Child1 (Class): *
Child2 (Name):
Your answer
Child2 (Class):
Child3 (Name)
Your answer
Child3 (Class):
Child4 (Name):
Your answer
Child4 (Class):
I confirm that the information given in this form is true, complete and accurate. By clicking the submit button, I give permission to authorized persons of Xingnan Primary School Parent Support Group (PSG) to contact me to discuss how I can volunteer my services.
A copy of your responses will be emailed to the address you provided.
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