Swimsafer Test Booking 2022 Please enable JavaScript in your browser to complete this form.How many pax are doing the swimsafer test? 1 pax2 pax3 pax4 pax5 paxDate of Birth #1DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender #1BoyGirl#1 Selected 30th April Test at Clementi for stage?Stage 1 (3pm to 4pm)Stage 2 (3pm to 4pm)Stage 3 (3:30pm to 4:30pm)Stage 4 (Bronze) (3:30pm to 4:30pm)Stage 5 (Sliver) (4:30pm to 5:30pm)Stage 6 (Gold) (4:30pm to 5:30pm)Date of Birth #2DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender #2BoyGirl#2 Selected 30th April 2022 Test at Clementi for stage?Stage 1 (3pm to 4pm)Stage 2 (3pm to 4pm)Stage 3 (3:30pm to 4:30pm)Stage 4 (Bronze) (3:30pm to 4:30pm)Stage 5 (Sliver) (4:30pm to 5:30pm)Stage 6 (Gold) (4:30pm to 5:30pm)Date of Birth #3DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender #3BoyGirl#3 Selected 30th April 2022 Test at Clementi for stage?Stage 1 (3pm to 4pm)Stage 2 (3pm to 4pm)Stage 3 (3:30pm to 4:30pm)Stage 4 (Bronze) (3:30pm to 4:30pm)Stage 5 (Sliver) (4:30pm to 5:30pm)Stage 6 (Gold) (4:30pm to 5:30pm)Date of Birth #4DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender #4BoyGirl#4 Selected 30th April 2022 Test at Clementi for stage? Stage 1 (3pm to 4pm)Stage 2 (3pm to 4pm)Stage 3 (3:30pm to 4:30pm)Stage 4 (Bronze) (3:30pm to 4:30pm)Stage 5 (Sliver) (4:30pm to 5:30pm)Stage 6 (Gold) (4:30pm to 5:30pm)Date of Birth #5 DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender #5BoyGirl#5 Selected 30th April 2022 Test at Clementi for stage?Stage 1 (3pm to 4pm)Stage 2 (3pm to 4pm)Stage 3 (3:30pm to 4:30pm)Stage 4 (Bronze) (3:30pm to 4:30pm)Stage 5 (Sliver) (4:30pm to 5:30pm)Stage 6 (Gold) (4:30pm to 5:30pm)Terms and Conditions *Yes, I have read and understood.Swimsafer Test Matter 1) Swimsafer Test Fees has to be transferred before the actual swimsafer test. 2) In the Event of Bad weather, the test will be postpone to the following Sunday. 3) Payment can be in the mode of Cash, Fund Transfer or Paylah/ Paynow. For Paylah/Paynow or Fund Transfer, please forward screenshot or notify as proof of payment. 4) No refund of Swimsafer Test upon registration. If the student fail to turn up, the fee will be forfeited. A re registration will be required. 5) In the Event payment is not made, I will not be able to take my swimsafer test. Total$ 0.00Fund Transfer Payment Mode Only *I hereby agree to pay the required amount upon registration which otherwise shall be removed from the test if payment is not made. Paylah or Paynow to AQZOG SWIM SCHOOL : 91375141. Please notify proof of fund transfer via whatsapp (91375141) after registration is done. Thank you.Submit
