ANNEX A: GROUP PARTICIPANT PROFILE Taking Full Name (As in NRIC / Birth NRIC No. / Date of Diagnosis Wheelchair Tee-Shirt S/N Gender Age Shuttle Cert) Birth Cert No. Birth (Disability) User ( Y / N ) Size (Y/N) 1 2 3 4 5 6 7 8 9 10 Note: Please make a duplicate copy if necessary. EMERGENCY CONTACT If the Main Contact Person is also participating in the programme, please designate another Emergency Contact below. Name : Relationship to Group : Emergency Contact No. :
ANNEX A: GROUP PARTICIPANT PROFILE S/N Full Name (As in NRIC / Birth Cert) NRIC No. / Birth Cert No. Gender Date of Birth Age Diagnosis (Disability) Wheelchair User ( Y / N ) Taking Shuttle (Y/N) Tee-Shirt Size 1 2 3 4 5 6 7 8 9 10 Note: Please make a duplicate copy if necessary. EMERGENCY CONTACT If the Main Contact Person is also participating in the programme, please designate another Emergency Contact below. Name : Relationship to Group : Emergency Contact No. :