Online Activity Registration Form

All fields with * must be filled in

Event Details
Event ID:
Surname: *
Other Name: *
Membership No.:
Contact Phone:
e-mail: *
Event Title:
Event Date: Pick a date (yyyy/mm/dd)
First Choice of Group:
Second Choice of Group:
Third Choice of Group:
Need Certificate?:
Payment Method:
Cheque No.:  For cheque payment
Bank:  For cheque payment