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Health & Travel Declaration Form
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Date of Submission
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40th AGM (29March2020)
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PDPA Declaration
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I hereby declare that all the entries in this form are true and correct. I authorize Muslim Converts’ Association of Singapore, henceforth termed as MCAS, to disclose my personal information to its employees for administration and relevant authorities for contact tracing purposes. MCAS represent to, warrant and undertake that collective consents have been obtained allowing MCAS to collect, use, process and disclose the personal data in accordance with the terms and conditions as stated in the MCAS Personal Data Protection Policy available on our website (https://www.mcas.sg/corporate/pdpa/). Data collected will be disposed 30 days after visit.
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Saturday, 17 April 2021 @ 8.30pm (Women)
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Friday, 16 April 2021 @ 8.30pm (Women)
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Saturday, 17 April 2021 @ 8.30pm (Men)
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Friday, 16 April 2021 @ 8.30pm (Men)
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Name
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Are you a Convert?
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If yes, please provide your Conversion Card No.
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