Registry
Just fill in the form and submit. Check the box(es) only if you do not wish to publicise your information.
Name:
Nickname:
Home Address:
private
Current Address:
private
Homepage:
Email:
Birthdate:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Birthplace:
Status:
Single
Engaged
Married
Married with Children
Divorced
don't go tell anyone, okay? :)
Contact #:
Home :
Office :
Handphone :
Others :
screen all
Messenger:
Yahoo! :
MSN :
ICQ:
SSPian from
to
Class:
Form 1 :
Ilmu
Usaha
Jaya
Class Mon
Vice
Form 2 :
Ilmu
Usaha
Jaya
Class Mon
Vice
Form 3 :
Ilmu
Usaha
Jaya
Class Mon
Vice
Form 4 :
Ilmu
Usaha
Jaya
Class Mon
Vice
Form 5 :
Ilmu
Usaha
Jaya
Class Mon
Vice
Sports hse:
Emerald
Ruby
Sapphire
Topaz
Highest position held:
Capt
Vice Capt
Secretary
Treasurer
AJK
Spouse:
private
Child:
private
1.
Age:
1
2
3
4
5
6
7
8
9
2.
Age:
1
2
3
4
5
6
7
8
9
3.
Age:
1
2
3
4
5
6
7
8
9
4.
Age:
1
2
3
4
5
6
7
8
9
5.
Age:
1
2
3
4
5
6
7
8
9
Current Info:
Extra Info:
Specific infos will be updated in the 79babies Yahoo! group, okie dokie :)