BGC Members Registration Form
Hi, This is for our membership registration. For questions like Email Address of Parents/Guardian. If they have no email address, put a "-" or "NA". Thank You!

* GRADUATED SENIORS NEED NOT FILL UP!! :D
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Full Name *
Nationality *
Student ID Number (with last alphabet) *
Nric Number *
Gender *
Male or Female?
Race *
Chinese? Malay? Indian?
Religion *
Date of Birth *
DD/MM/YYYY
Age *
Blood Group *
A+? O?
Residential Address *
Your mobile number *
School/Division *
BA? HMS?
Course/year *
E.G. Acc/2
Name of Parent/Guardian *
Relationship ( For the name mentioned on the above question) *
Mother? Father?
Address of Parents/Guardian *
Put a "SAME", if same with your residential address. If not, please state down
Mobile number of Parents/Guardian *
Home telephone number of Parents/Guardian *
Office telephone number of Parents/Guardian *
Email Address of PArents/Guardian *
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