ORGANIZER_NAME

ORGANIZER_ADDRESS

ORGANIZER_PHONE_NUMBER

ORGANIZER_EMAIL 

ACTIVITY ENROLMENT FORM

(CLUB APPLICANT)

 

I.  PARTICULARS OF ACTIVITY

 

Activity No.: ACTIVITY_NUMBER

Activity Name: ACTIVITY_NAME

Activity Date: ACTIVITY_DATE

 

II. PARTICULARS OF PARTICIPATING CLUB

Name: CLUB_NAME    

Correspondence Address: CLUB_ADDRESS     Sex:  Male / Female

Tel. No. (Daytime): CLUB_PHONE_NUMBER     Mobile No.: CLUB_EMAIL

 

III. PARTICULARS OF CLUB REPRESENTATIVE

Name: CLUB_REPRESENTATIVE_NAME     ID No.: CLUB_REPRESENTATIVE_ID

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