Community Education Series @ CRC
Thank you for your interest to attend our cancer education talks.
Kindly note that each attendee has to be registered due to security clearance issues.

By completing this form, I consent to allow Singapore Cancer Society (“SCS”) to collect, use, disclose and/or process my personal data in order to process, administer, facilitate, maintain and/or manage my relationship with the organiser as a member, volunteer, programme participant, beneficiary and/or donor (“Purpose”), including communications on our activities, programs and services and donation requests; carrying out research, analysis and development activities for our purposes; and making disclosures required by law or a competent authority. We may disclose my personal data to its third party service providers and/or agents, which may be sited outside of Singapore, for the above Purpose.

Personal Data Protection Act (PDPA)
All personal information provided by you may be used to communicate relevant events or activities, organised by Singapore Cancer Society(SCS) either via sms, phone call or email. If you do not wish for your details to be used, please contact communityhealth@singaporecancersociety.org.sg
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Personal Particulars
 NRIC *
Your NRIC number is needed to seek security clearance into JEM Office Tower
Salutation *
Eg. Dr / Mr / Mrs / Ms
Surname / Last Name *
Surname
Middle
First *
Mobile no *
Email
Address
Postal Code
Unit Number
Street Name
Gender
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My Race is
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My Birth Date is  
MM
/
DD
/
YYYY
This is my first time attending a SCS organised talk
Clear selection
If no, which talk have you attended previously
I learnt about this talk from *
Required
I would like to attend the following talk: *
Programmes are subjected to change without prior notice.  Children under the age of 12 are NOT allowed. Talks in Series would only open for registration 1 month prior to the event.
I would like to be informed of future programmes by SCS   *
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