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IPC Online Application
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Section A: Personal Particulars
–
Step
1
of 4
Name (as in NRIC/Passport)
*
NRIC/Passport No (last 4 digits)
*
Gender
*
M
F
Nationality
*
Religion
*
Duration in Singapore (if not residing in Singapore)
Contact Number
*
Email
*
Next
Reasons for IPC Request
*
General availability
*
Preferred Languge
*
English
Mandarin
Tamil
Malay
Others
Next
I agree that I will use the information given to me about the IPC Teacher in confidence and solely for the purpose of arranging for IPC sessions only. I understand that any form of misuse may lead to the cancellation of my IPC sessions and that I will be in breach of the Personal Data Protection Act (PDPA). I also agree that collective consents have been obtained allowing Muslim Converts’ Association of Singapore to collect, use, process and disclose the personal data in in accordance to the terms and conditions as stated in the Muslim Converts’ Association of Singapore Personal Data Protection Policy (available on the website).
Signature (Applicant)
*
Clear Signature
Next
IPC Request
Approved
Not Approved
IPC Teacher's Name
Name (Requesting Officer)
Signature (Requesting Officer)
Clear Signature
HOD Endorsement
Signature (HOD)
Clear Signature
Submit Entry
0
Da'wah Awareness Training Programme 2022 - Application Form
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Full Name
*
Date of Birth
*
DD
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MM
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YYYY
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Email
*
Contact Number
*
Occupation & Organisation
*
Do you have work or school on Saturdays?
*
Yes
No
Do you have any volunteering experience in any Islamic organisation, Mosques or for any Islamic-related cause?
*
Yes
No
Indicate where
*
Do you have any relevant Islamic education background?
*
Yes
No
Indicate Institution Name:
*
Why are you interested in joining our Da'wah Awareness Training Programme and what are you hoping to achieve after completing it?
*
PDPA Agreement
*
I hereby declare that all the entries in this registration form are true and correct. I authorize the Muslim Converts’ Association of Singapore (MCAS) to disclose my personal information to its employees for administration and record purposes. I further authorize MCAS to send me communications relating to services, events, promotions or newsletters via electronic mail, mobile phone text messages and/or mailers. 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 MCAS Personal Data Protection Policy available on our website.
Submit
×
