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Samsung X PAL Learning Lucky Draw
The following information is required as you are participating in our lucky draw. By filling up and submitting the following form, you are consenting to the disclosure of the following information for our use.
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Parent's Name
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Parent's Phone Number
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Parent's Email Address
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Home Address
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How many children do you have?
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1-2
3-4
5 and above
Children Full Name and Age
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Example: Ashley Chia (7), Mathilda Chia (9)
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Checklist for lucky draw entry
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