This is an explanation of the purpose of the form ...
NRIC No.
Name in Full
Address
Date of Birth
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Age
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
Email Address
Telephone
Monthly Salary
>5001
4001-5000
3001-4000
2001-3000
1001-2000
<1000
Union Member?
Yes
No
Maybe
Gender
Male
Female
Race
Chinese
Malay
India
Others
Marital Status
Single
Married
Divorced
Widowed
Citizenship
Singaporean
Singapore Permanent Resident
WP-S (Work Permit), Q2 (Employment Pass)
Other WP, EP
Others
Highest Education Qualification
Below Primary
Primary
Lower Secondary
'N' / 'O' Level
Post Sec / 'A' Level
NTC
ITC
Diploma
Degree
Post Grad
Others
Occupation
Homemaker
Retiree
Unemployed
Self-Employed
Employed
Computer Course Previously Attended
Using Microsoft Office (48 hrs)
IT Power 21 (21 hrs)
Internet Webpage Design (21 hrs)
Author information goes here.
Copyright © 1999 [OrganizationName]. All rights reserved.
Revised: December 10, 2002