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Realm Client Management System
Home 主页
Beneficiary 受惠人
Members 阁员
Donor 捐赠者
Realm Client Management System
Home 主页
Beneficiary 受惠人
Members 阁员
Donor 捐赠者
Beneficiary 受惠人
Beneficiary Profile
Individual Prefix
*
Mrs.
Ms.
Mr.
Dr.
Mdm
First Name 姓
*
Last Name 名
*
Date of Birth (出生日期)
*
NRIC(居民证号码)
*
Mobile number(手机号码)
*
Home Tel (住宅电话)
Race (种族)
- select Race (种族) -
Chinese (华语)
Indian (印度)
Malay (马来)
Others(其他)
English (英语)
Any illness? (任何疾病?)
Asthma
Cancer
Depression
Diabetes
Dialysis
High Blood Pressure
High Cholesterol
Handicapped/Wheelchair
Intestinal Cancer
Muscular Dystrophy
Osteoporosis
Urinary Incontinence
Others?
Do you Cook? 你煮饭吗
- select Do you Cook? 你煮饭吗 -
Frequently
Sometimes
No
Alternate Day
For elderly 60 years old & above not living with the children, how do the children support them every month? 60岁以上老人没有与子女同住,子女每月如何供养他们?
Occupation & Gross Salary/If not working why (职业总收入/如果不工作,为什么)
Is the household receiving other types of assistance? Yes/No (inculde amt per month) 该家庭是否接受其他类型的援助?是/否(含每月amt)
Rental Cost (租金费用)
Utilities Cost(水电杂费)
S&C Cost (杂费)
Emergency Contact Name(紧急联系人姓名)
Relationship(关系)
Number of household resident 共处人数
Occupation & Income (职业和收入)
Remarks(附注)
Block Number 大牌号码
Street Name 地址
Unit Number (e.g. #123) 门牌
Postal Code 邮政编码
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