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PARTICIPANT CONSENT FORM

*Required

Section (A) Demographics

Please tick (√) on the relevant answer, each question must have ONE answer:

1. Please indicate your gender *


Male

Female

2. please select your age group *


16 - 24

25 - 34

35 - 44

45 - 59

60 and above

3. Please indicate your occupation *


Teacher

Employee

Student
Student

Housewife

Unemployed

4. Please indicate your race *


Malay

Chinese

Indian

Foreigners

Others

5. Please indicate your education level *


Postgraduate

Undergraduate

Bachelors

Diploma

Others

6. Please specify your income level *


Less than RM 1500

RM 1501-RM 3000

RM 3001-RM 5000
RM 3001-RM 5000

RM 5001-RM 7000

More than RM 7000

7. For how long you have been using Western union Services *
Few months

6 months

1 year

5 years

More than 5 years

8. How frequent you have been using Western Union Online


money transfer services? *
Weekly

Twice a month

Monthly

Twice a year

Yearly

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