EmailMe Form - CA Marriage Prep Course Form , Nov 10 & 11, 2018

CA Marriage Prep Course Form , Nov 10 & 11, 2018

About:
Welcome! This 2 days course is couple focussed.
Time: 9.30 am to 6.00pm on both days.
Upon submission of this form, your places are confirmed*. We shall send a gentle reminder on the course within the week of course commencement. Notes, Certificate & Refreshments are provided.
(*subject to MSF/ROMM/ICA requirements)

Course fee is $300/- only per couple.
Please make payment now or latest 2 weeks before course starts.

Payment mode:
1. Online bank transfer Payment to
POSB / DBS Current acct 758-11243-8
2. PAYNOW to 91071924
**Update your payment details in Comments box below or email to payment@bdmi.sg
(payment link is also available at www.bdmi.sg)
Receipt will only be issued upon request.

Any withdrawal within 14 days from the course commencement date is not entitled to any refund. However, a transfer to another date is allowed by sending an email to enquiry@bdmi.sg

If there is any further enquiry, you may email to enquiry@bdmi.sg

Welcome to the learning journey!

Thank you.

Regards,

Zarina Begam
BDMI Successful Marriage and Family of a Lifetime
66858204

Date:
Nov 10 & 11, 2018
Saturday - Sunday

Address:
Kampung Ubi Community Centre,
10, Ubi Road, (S)409075
(nearby Eunos MRT)

Name of Main Applicant (as in NRIC or Passport) *
First Last
NRIC / Passport number
NRIC No (last 4 digits + alphabet eg Sxxx1234B)
Date of Birth *
MM / DD / YYYY
Address

Street Address City State / Province / Region Postal / Zip Code Country / Region
Mobile Phone Number *
Is this your first marriage? *
Yes
No
Email *
Name of Partner (as in NRIC or Passport) *
First Last
Partner's NRIC / Passport number
NRIC No (last 4 digits + alphabet eg Sxxx1234B)
Partner's Date of Birth *
MM / DD / YYYY
Partner's Address

Street Address City State / Province / Region Postal / Zip Code Country / Region
Partner's Mobile Phone Number *
Email *
Is this your Partner's first marriage? *
Yes
No
Have payment been made? *
Yes (please provide payment details in comment)
No
Questions or Comments
Personal Data Protection.
1. Data is collected strictly for this registration and verification purposes.
2. The data will be submitted to MSF (course provider).
3. Main Applicant has sought the consent of Partner to the collection, use and disclosure of the above personal data for the purpose/s stated.
4. Applicant &/or Partner consent to the use of any individual or group photograph and/or interview/comments/feedback in any format, for use on BDMI or its affiliates or MSF/ROMM marketing materials or articles.
5. Applicant &/or Partner consent to receive updates from BDMI & its associates on future related courses and events.
6. Upon submission of this form, Applicant &/or Partner have agreed and granted consent to the above-mentioned pertaining to the Personal Data Protection Act. *
I accept and agree that all information provided is true and accurate.

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