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Ministry of Education
National Library Board
Speak Good English Movement
I. PARTICIPANT'S PARTICULARS
*
Surname:
*
Name:
*
NRIC:
(e.g S1234567A)
*
Gender:
Male
Female
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Date of Birth:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
Febuary
March
April
May
June
July
August
September
October
November
December
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
*
Age:
(as on 1 Jan 2010)
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Class:
*
Address:
*
Postal Code:
Singapore
*
Home Tel No:
*
Mobile No:
*
Email Address:
II. SCHOOL'S PARTICULARS
*
Name of School:
*
School Address:
*
Postal Code:
Singapore
III. TEACHER-IN-CHARGE'S PARTICULARS
*
Name:
*
Contact No.:
*
Fax No.:
*
Email Address:
IV. TOPIC OF SPEECH
*
Topic of Speech :
V. ATTACH YOUR PHOTOGRAPH
*
Upload Photo:
VI. PAYMENT
*
Payment method :
Select payment method
Cheque
IFASS / invoice
Cash
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