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Operation Smile Student Leadership Conference 2010
RSVP
Yes, I accept the invitation!
Not this time, but keep me informed of upcoming events
PERSONAL PARTICULARS
Items marked with * are mandatory fields
Name: *
(First)
(Last)
Other Name (if any)
NRIC: *
Date of Birth: *
(DD)
(MM)
(YYYY)
Gender:
Male
Female
CONTACT DETAILS
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Email: *
Mobile: *
OTHER DETAILS
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Position in Student Chapter: *
Office Bearer, National Exco
Office Bearer, School Chapter
Member, School Chapter
Volunteer
Teacher
Others
Type of Institution: *
School
Junior College
Polytechnic
Institute of Technical Education
University
Others
Class (if applicable)
Name of Institution: *
What kind of volunteering activities will you be interested in? (You can check more than one)
Overseas medical missions
Fundraising events and activities
Office work on adhoc basis
Comments (if any)
Operation Smile Singapore
,
352 Tanglin Road, #01-05, Tanglin International Building, Singapore 247671, +65 6473 3709 (Tel), +65 6473 3710 (Fax)
©2009 Operation Smil
e Singapore Ltd.
All rights reserved
.