陶瓷杯垫粉彩 Soft Pastel on Ceramic Coaster (Apr 25) 
Date 日期·          : 3/4, 10/4, 17/4, 24/4
                              (Every Thursday 每逢星期四）
Time 时间          : 2:30 pm - 4:30 pm
Venue地点         :  Sheng Hong Active Aging Centre (CARE) @ Sennett
                               城隍活跃乐龄护理中心
                               175 MacPherson Road, S 348537 
Language 语言 :  English & 华语
Fee 费用            ：$58.00  (已扣除 80% 全国乐龄学苑 津贴 Fee after 80% NSA Subsidy)
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姓名 (英文 和 华文)  Full Name in English & Chinese *
登记号码 (完整)  NRIC in Full *
公民资格  Residence status *
出生日期 (日日) Date of Birth (DD) *
出生日期 (月月) Date of Birth (MM)
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出生日期 (年年年年) Date of Birth (YYYY)
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性别  Gender *
种族  Race *
手机号码 Handphone number *
电邮地址 Email address
住址邮区号码 Postal Code *
教育程度 Education Level *
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工作状态 Work Status *
我了解开课前需付学费 I understand I need to pay up the fee before course start date. *
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我了解若有突发情况不能参加，我有责任通知城隍活跃乐龄中心 I understand that I am responsible to inform Sheng Hong AAC if I am not able to join the course due to unforeseen circumstances. *
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I hereby declare that the information provided herein is accurate and valid. By submitting this form, I consent to my personal data being collected, disclosed to, and use by Sheng Hong AAC (CARE) @Sennett, C3A and its relevant partners, for purposes that shall include but not limited to the following course administration, keeping me informed of relevant information on programmes, research and other publicity relating to active aging (via WhatsApp, email and/or other modes of communication), as well as for statistical studies, comparison, research and/or any other related use. Do note that photographs and videos may be taken during the course for publicity purposes.

I understand that I may update my personal data or withdraw my consent at any time by emailing dataprotection@c3a.org.sg. C3A’s privacy policy may be viewed at www.c3a.org.sg.

我在此声明所提供的信息准确无误。提交此表格即表示我同意我的个人数据被收集、披露和使用，供城隍活跃乐龄中心、活跃乐龄理事会（C3A）及其相关合作伙伴使用，用途包括但不限于以下方面：课程管理、向我提供有关计划、研究和其他与积极老龄化相关的信息（通过WhatsApp、电子邮件和/或其他通信方式）、以及用于统计研究、比较、研究和/或任何其他相关用途。请注意，在课程期间可能会拍摄照片和视频用于宣传目的。 我明白我可以随时通过发送电子邮件至dataprotection@c3a.org.sg 更新我的个人数据或撤回我的同意。可查看C3A的隐私政策，网址为www.c3a.org.sg。

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