Trip Sign-up Form 2016 For FCBC members only PERSONAL DETAILS (Please complete all fields) Name (as in NRIC/Passport): _____________Contact No. : __________ Passport No. : ____________ Expiry Date: _________ Sex: Male / Female I/C No. : _____________Date of Birth: _______ Team: ________ Email: ______________ Address: _____________________________________________ Postal Code: _________ Marital Status: Single / Married Citizenship: _________Occupation: _________ SPECIALISATION / SKILLS (You may circle more than one) Medical / Children Ministry / Youth Ministry / Engineering / Driver / Teaching English (age group) / Manual work (e. g. house construction, digging holes, farming) / Knowledge of Bahasa Indonesia or Bahasa Melayu IN CASE OF EMERGENCY, please contact: Name: ___________________ Relationship: ___________ Contact No. : ________________ PREFERRED TRIP (Please indicate 1 st choice & 2 nd choice) Choice Trip Dates (tentative) 2016 Teambuilding Sessions Deadline for Sign-up Apr 26 – May 5 (Medical) Apr 3 – 24 Mar 27 Jun 2 – Jun 9 (Sports Day) May 14 – Jun 4 May 8 Sep 24 – Oct 1 (Medical) Aug 28 – Sep 18 Aug 21 Dec 1 – 8 (GKidz Carnival) Nov 6 – 27 Oct 30 TEAM PASTOR / CELL LEADER ENDORSEMENT Cell Leader’s Name & Signature: _________ Team Pastor’s Name & Signature: _________ NOTE: v. For registration form submission, please submit it at the Self-Help Counter at TOUCHCENTRE / FCBC Suntec on weekends. v. For more info and enquiries, please contact Pastor Kang Ying / Daniel Tan / Esther Seah at 6424 9400 or email: kang. ying@fcbc. org. sg / daniel. tan@fcbc. org. sg / esther. seah@fcbc. org. sg. v. Total Cost: $1, 500 (covers two-way air tickets, all accommodation, food and transport).
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