Drastic Fusion ‖ Goals ‖ CBSS

Established since 24/10/2010

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Goals..towards the future!

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Goals: CBSS

DIRECT POLYTECHNIC ADMISSION EXERCISE: APPLICATION IN PROGRESS

Notice: 1. You are advised to consider your choices carefully by trying out the Sample Worksheet before submitting your application online. 2. You have 10 minutes to complete each page, after which you will be automatically logged off from the system. 3. Do not use your browser's <Back>, <Forward> or <Refresh> button. Doing so will log you out of your current session. 4. Please remember to save your work regularly.

>Personal Info

>Courses and Talents

>Preview

>Declaration

>Finish

Personal Information

Fields marked with an asterisk * are required.

Name	:	QUEK CHEE YANG, REUEL

NRIC/FIN	:	S****042Z

Date of Birth	:	15/8/1996 (dd/mm/yyyy)

Gender	:		*

Race	:		*

Country of Birth	:		*

Citizenship	:		*

Citizenship Type	:		*

Address & Contact details

Block/House number	:		*

Unit Number	:	# (if applicable)

Street Name	:		*

Country	:		*

Postal Code	:		*

Tel(Home)	:	(Please provide at least one local contact number.)

Tel(HP)	:	(Please provide at least one local contact number.)

Email	:	reu-ek@hotmail.com