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NRIC
Name in full
Residential Address
DOB
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
Telephone
Email Address
Salary
Less than $1,000
$1,000 to $2,000
$2,000 to $3,000
$3,000 to $4,000
$4,000 and above
Gender
Male
Female
Union Member
Yes
No
Race
Chinese
Malay
India
Others
Marital Status
Single
Married
Divorced
Widowed
Citizenship
Singaporean
Sinagpore Permanent Resident
WP-S (Work Permit), Q2 (Emp. Pas)
Occupation
Homemaker
Retiree
Unemployed
Self-Employed
Employed
Highest Education Qualification
Below Primary
Primary
Lower Secondary
N / O Level
Post Sec / A Level
NTC
ITC
Diploma
Degree
Post Grad
Others
Computer Course Previously Attended
Basic Computer Course
PC Networking
Web Page Design
MS Word
MS Excel
MS Access
MS Power Point
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Copyright © 1999 [OrganizationName]. All rights reserved.
Revised: January 04, 2003
