Name List & Particulars URGENT &IMPORTANTLY CONFIDENTIAL for Malaysia Trip. (This is for school)
Strictly follow this format.
1.Full Name:
2.Student Id:
3.NRIC No.:
4.Passport No.:
5.Expiry Date Of Passport:
(dd/mm/yy)
6.Date Of Birth:
7.Nationality:
8.Gender:
9.Dept:
10.Year:
11.Handphone No.:
12.Blood Type:
13.Drug Allergy:
14.Medical / Health Condition:
15.Preferred Email:
16.Next of Kin, Name, Relationship, Handphone & Home Tel. No.:
17.Postal Address:
Make sure all this 17 items before they sendin it to Fauzi. for example if there's nothing to be inserted in number 14. or which ever part, please insert -NA- . Otherwise please complete all part of it.
Fauzi's Email Add: fauzigayut@hotmail.com
* Disclaimer: All your particulars will be kept confidential. strictly for the viewing of FAUZI (for form filling and submission to NP) and the organisers, Ngee Ann Polytechnic.
~ For any enquiries pls call me. FAUZI @ 92771420 ~
Thank you!
Matin
I'll get back to you regarding the payment date. Those subsidised pay $200 & those who are not please pay full amount of $400.
