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General Appointments
Singapore National Eye Centre
Appointments Hotline: Tel: (65) 6227 7266
Valet Parking and Shuttle Bus Service at SNEC
Patient's Particulars
Name in full
*
(According to Identity Card or Passport)
NRIC / Passport / Birth Cert No.
*
Fin No.
*
(For work permit or employment
pass holders only)
Date of Birth
*
/
/
(eg.: 01/12/1987)
Gender
- Select Gender -
Female
Male
Address
Country of Residence
Singapore
United Kingdom
USA
Afghanistan
Albania
Algeria
Angola
Argentina
Aruba
Australia
Austria
Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Bermuda
Bolivia
Bosnia & Herz
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Caymen Islands
Central African
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Rep.
East Timor
Ecuador
Egypt
El Salvedor
Equitatorial Gui
Estonia
Ethiopa
Falkand Islands
Fiji
Finland
France
French Poly.
Gabon
Gambia
Germany
Ghana
Gibraltar
Greece
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kenya
Korea, DPRO
Korea, RO
Kuwait
Kyrgyzstan
Lao Peoples
Latvia
Lebanon
Lesotho
Liberia
Libyan
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Mauritania
Mauritius
Mexico
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherland Antilles
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Papua New Gui.
Paraguay
Peru
Phillippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
S Tome & Princ.
Samoa
Saudi Arabia
Senegal
Seychelles
Sierra leone
Singapore
Slovakia
Slovenia
Solomon Is
Somalia
South Africa
Spain
Sri Lanka
St. Helena
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Tonga
Trinidad
Tunisia
Turkey
UAE
Uganda
Ukraine
Uruguay
Vanuatu
Venezuala
Vietnam
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
You may contact me at
*
Home
Office
Handphone
E-mail
I wish to
*
make a new appointment
change appointment
cancel appointment
Remarks
We appreciate your response to the following. Thank you
I know of SNEC through:
Advertisements from....
(name of relevant publications)
Online search
Link in Google internet search
Local newspaper articles
Singapore newspaper articles
Other Singapore publications
To state :
Health-related events organised in my country
Recommendations by others
Other sources
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*
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