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AS Club Registration (support group by NAF)
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Email
*
Your email
Mobile Number
*
Your answer
Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Occupation
Business owner
CEO/MD
GM/Director
Manager (indoor)
Manager (outdoor)
Executive
Technician/Engineer
Teacher
Physician
Nurse
Social Worker
Homemaker
Other:
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Interested in the following: (select all that apply)
*
Social gatherings
Educational workshops
Dialogue sessions with medical professionals
Exercise/Wellness classes
Physiotherapy sessions
Volunteer for facilitating/helping in the club activities
Other:
Required
Let us know if there are any particular activities that you would like to participate in. (Your feedback will help us organise events to meet the needs of AS Club members)
Your answer
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