VeloStudent Application Form
THE PERFECT CLUB WITH EXCITING DEALS FOR ALL STUDENTS AGED BETWEEN 13 TO 25 YEARS OLD. REGISTER NOW TO ENJOY PRIVILEGES ONLY AVAILABLE TO VELOSTUDENT CLUB MEMBERS!

KINDLY PROCEED TO OUR MAIN CONCIERGE (GROUND FLOOR) TO COLLECT YOUR MEMBER CARD AFTER SUBMITTING THIS APPLICATION FORM & RECEIVING AN EMAIL CONFIRMATION. THANK YOU! :)
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Name (as per NRIC/Passport) *
Age *
Student ID
NRIC / Passport Number *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Race *
Contact No. *
Email *
Address *
Which category are you in? *
Which school/institution are you currently studying in? *
Which of these outlet categories interest you the most? (Answer can be more than one option) *
Required
What are your favourite outlets or type of brands available at Sunway Velocity Mall? *
Which type of deals do you find the most attractive? (Answer can be more than one option) *
Required
How did you know about VeloStudent Club? *
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