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Warranty

Please complete the e-form to register your On Call Sure Sync Blood Glucose monitoring system

Information required

Date of purchase

Venue of purchase

Meter Serial Number (e.g. 102A0001C8. See label on back of meter)

Date of birth (DD/MM/YYYY):

Gender (M/F):

AJJ Diabetes Care Program

Please tick the relevant box below if you agree to receive information from us regarding our products and services, including updates on our new products, promotions, and information about our new products and services

SMS or WhatsAPP

Post

How Many times a week do you test your blood glucose? *

1-3 times a week

4-6 times a week

7-13 times a week

14 or more times a week

Type of diabetes

Type I

Type II

Pre-diabetes

Gestational

How do you manage your diabetes (multiple choice)

Insulin

Oral medication

Diet and/or exercise

None

Address

Postal Code:

Mobile No.:

I accept

How do you know us:

Retail Pharmacy

Family&Friends

Others

What was your previous meter:

By ticking the indicated boxes, you agree that we are collecting your personal information in order to

email, phone, SMS and post to you helpful information about diabetes and its related treatments,

products and services, and for marketing and promotional purposes. We may also share your

information with our affiliates and subsidiaries as well as authorised independent third parties who may

assist us in collecting and processing information in accordance with the Personal Data Protection Act

2012 of Singapore.

Terms & Conditions

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