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Spouse Membership Application Form
Spouse Membership Application Form
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Spouse Membership Application Form
Spouse Membership Application Form
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Applicant Type
*
New Applicant
Reinstatement
1. Particulars Of Main Member
Salutation
*
Mr
Mrs
Ms
Mdm
Dr
Prof
Assoc.Prof
Full Name in NRIC / Passport
*
Preferred Name on Card
*
Membership No
*
Hidden
Membership No
*
Mailing Address
Full Address
Postal Code
State/ City (if any)
Country
Tel
*
Email
*
2. Particulars Of Spouse Membership Applicant
Salutation
*
Mr
Mrs
Ms
Mdm
Dr
Prof
Assoc.Prof
Full Name in NRIC / Passport
*
Surname
Given Name
Preferred Name on Card
*
NRIC / Passport No.
*
Last 4 characters/ digits of NRIC or Passport number
Nationality
*
Race
*
Date of Birth
*
DD slash MM slash YYYY
Gender
*
Male
Female
Highest Education Attained
*
Email
*
Tel
*
(M)
Your Photograph
*
Accepted file types: jpg, Max. file size: 2 MB.
Company Information
Company Name
Position/Job Title
Type of Business
Declaration By Applicant
I agree to my account being debited $10.90 w/GST every month for the Spouse Membership subscription fee and undertake to be responsible for all bills incurred by my spouse.
Our team will be contacting you to arrange for the sighting of your marriage certificate for verification purposes.
Upon receipt of all documents, please allow 14 working days for processing.
For reinstatement of spouse membership: I agree that a reinstatement fee of $21.80 w/GST will be charged to my account.
I understand that a Spouse member is not a member of the Society under the provisions of its Constitution i.e. he/she has no constitutional rights or privileges.
I understand that this privilege may be withdrawn at any time at the sole discretion of the Management Committee.
I agree to all terms and conditions listed below and I declare that the particulars provided are correct.
Consent
*
I Have Read And Agreed To The Following Terms And Conditions
*