Online Registration
(Assyakirin Mar 2010 Course )
Applicant's Information
Partner's Information
Name (as in IC)
Name (as in IC)
Gender
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Male
Female
Gender
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Male
Female
Citizenship
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Singaporean / PR
Foreigner
Citizenship
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Singaporean / PR
Foreigner
NRIC/FIN/Passport Number
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NRIC/FIN/Passport Number
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Address
Address
Postal Code
Postal Code
Handphone No.
Handphone No.
House phone No.
House phone No.
Email (optional)
Email (optional)
Date of Birth [DD/MM/YYYY]
Date of Birth [DD/MM/YYYY]
Race
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Chinese
Malay
Indian
Eurasian
Others
Race
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Chinese
Malay
Indian
Eurasian
Others
Academic Achievment
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Primary / Elementary
Secondary
GCE N Level
GCE O Level
GCE A Level
Primary (Madrasah)
Secondary (Madrasah)
Vocational (ITE)
Diploma
Degree and above
Academic Achievment
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Primary / Elementary
Secondary
GCE N Level
GCE O Level
GCE A Level
Primary (Madrasah)
Secondary (Madrasah)
Vocational (ITE)
Diploma
Degree and above
Language Proficiency
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Very Fluent
Fluent
Weak
Language Proficiency
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Very Fluent
Fluent
Weak
Occupation
Occupation
Income
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$1000 and Below
$1001-$2000
$2001-$3000
Above $3000
Income
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$1000 and Below
$1001-$2000
$2001-$3000
Above $3000
Marital Status
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Bachelor / Spinster
Married
Divorcee / Widow
Marital Status
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Bachelor / Spinster
Married
Divorcee / Widow
Islamic Knowledge
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Very Good
Good
Basic
Islamic Knowledge
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Very Good
Good
Basic
Blood Type
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O+
A+
B+
AB+
O-
A-
B-
AB-
Not Sure
Blood Type
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O+
A+
B+
AB+
O-
A-
B-
AB-
Not Sure
Tentative Marriage Date [DD/MM/YY] (optional)
Payment Method:
IB
for Internet Banking (preferred),
ATM
for Fund Transfer, the
Cheque Number [eg: POSB 654321]
for Cheques, or
CASH
for Cash Payments (see under PAYMENT)
I have Read and Accepted the Terms on:
Payment
Declaration and Pledge
Cancellation
Note: Clicking the submit button will mean that you have accepted all the above.
