Mailing address:
Raffles Museum of Biodiversity Research
Department of Biological Sciences
Faculty of Science
National University of Singapore
6 Science Drive 2
Blk S6, #03-01
Singapore 117546
REPUBLIC OF SINGAPORE
Tel: +65-6516-5082
Fax: +65-6774-8101
Contact Webmaster
| Please complete and send this form to Ms Greasi Simon at Fax: +65-774-8101 | ||
| Alternatively, download the MS Word file and email the completed file to greasi@nus.edu.sg [ DOC ] | ||
| Name of Organization: | ||
| Address: | ||
| Number of Participants (Max. 20 per group; Max. 2 groups per session): | ||
| Name of Organizer: | ||
| Contact Number: ________________ Email: ________________ | ||
| Contact Number: ________________ Email: ________________ | ||
| Please tick one: |
|
|
| [ ] Programme A (Guided Tour) | ||
| [ ] Programme B (Unguided Tour) | ||
| Proposed Date and Time of Visit** | ||
| First Choice_________________________ |
||
| Date: _______________ Time: _______________ | ||
| Second Choice_______________________ |
||
| Date: _______________ Time: _______________ | ||
| Third Choice_________________________ |
||
| Date: _______________ Time: _______________ | ||
** Notes for the organiser:-
|
||
|