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  1. Welcome to the health assessment booking centre. Please select the health assessment programme. You will need to provide your name, phone number, email address, preferred location and the preferred booking date, so that we can arrange the services for you.

  3. Name(*)
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  4. Gender
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  5. Contact number(*)
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  6. Email Address(*)
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  7. Preferred Date(*)
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  8. Preferred time slot
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  9. Second priority date
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  10. Second priority timeslot
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  11. Programme selection
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  12. Insurance coverage
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  13. The information provided will exclusively be used for the purpose of answering your enquiry, providing a booking or other service requested unless we have your consent. The information will therefore be shared with relevant departments and persons involved in the services. The information will not be shared with third parties for marketing purpose. Please click here to read the Personal Information Collection Statement. We will only send you these communications if you tick the appropriate box below.
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  15. You may seek access to and request correction of any personal data we hold about you by emailing to info@matilda.org.
  16. Please complete the captcha(*)
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