Sign up for NTU Eye Screening in September 2009

More information at www.igard.com.sg/ntu

Includes Eyesight Evaluation for Myopia, Hyperopia & Astigmatism, Glaucoma Screening (Tonometry), Cataract Screening, Presbyopia Screening & Visual Health Consultation.

Donate your old spectacles to redeem a $20 voucher
Please complete the pre-registration form below.
It is important that you complete the form below with the correct information. Your Full Name & NRIC/Passport Number is required for verification. All information entered on our website is secure & will not be communicated to third parties. Email address is compulsory as you will be receiving a confirmation email and other relevant information through the inclusion in our mailinglist. Where a mobile phone number is not available, please fill in your day-time contact number. IGARD reserves the right to cancel your registration if the information provided is deemed to be incorrect or incomplete.
For Verification
Addtional Questions
2. Your current spectacles prescription
Please complete this information (Leave blank if you are unsure)
Right Eye
Left Eye
Please fill up the following
Leave blank if you are unsure
Right Eye
Left Eye
Do you have any information which you like to add?
4. Health History
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