Age+ Living Lab Experiential Learning Tour Registration Form for Organizations 爱家生活室体验式学习之旅机构登记表
Tours will be conducted primarily in English by our Gerontech Ambassadors. Please note that each registration is for 1 visitor only. 参观将主要由我们的乐龄科技大使以英语进行。请注意，每次报名仅限 1 名参观者。
Are you a resident of Nee Soon South? 你是义顺南的居民吗？
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Yes 是的
No 不是
I'm not sure. 我不确定
Postal Code 邮政编码
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Based on your residential address. 根据您的家庭住址.
Salutations 敬称
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Please Select
Mr. 先生
Mrs. 太太
Ms. 小姐
Mdm 女士
Dr. 博士
Prof. 教授
Er. 工程师
Assoc. Prof. 副教授
First Name / Given Name 名
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Last Name / Surname 姓
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Organization 机构/组织
Contact Number 电话号码
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I am a 我是一个
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Caregiver / Person who cares for another 照顾者/照顾他人的人
Older Person / Senior (Above 60 years old) 老年人/长者（60 岁以上）
Both caregiver and care recipient/senior 同时是照顾者和受照顾者/老年人
Professional in the care sector 护理行业的专业人员
Not sure 不确定
All of the above 以上全部
Other 其他
Email 邮箱
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An email will be sent to you upon submission of this booking for your reference. 提交预订后，我们会向您发送一封电子邮件作为凭证。
Date of Visit 拜访日期
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Day 日
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Month 月
Year 年
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Why do you want to visit the living lab 您为什么想要参观生活实验室?
Share with us your purpose/objectives so that our gerontech ambasssadors can assist you accordingly. 请告诉我们您的目的/目标，以便我们的乐龄科技大使为您提供相应的帮助。
Would you like to receive more news and updates about caregiving and gerontechnology from SG Assist? By selecting 'Yes', you agree to let us use your contact details to keep you informed about relevant programmes, initiatives, and opportunities to support your journey as a caregiver. We're committed to protecting your privacy and will not share your information with third parties without your consent. 您希望从 SG Assist 收到更多有关护理和乐龄科技的新闻和新内容吗？选择 “是”，即表示您同意让我们使用您的详细联系信息，让您了解相关计划、倡议和机会，以支持您的护理之旅。我们致力于保护您的隐私，未经您的同意，我们不会与第三方共享您的信息*。
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Yes, keep me updated. 是的，请随时更新。
No, thank you. 不，谢谢
Submit 提交
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