Please read Annex A carefully before completing the form.
1. APPLICANT'S PARTICULARS
Preferred Name on Card
NOTE: Download the NUSS MOBILE APP to access your membership e-card and other benefits!
NRIC / Passport No: (Last 4 characters/ digits of NRIC or Passport number)
Nationality:
Your Photograph :
(Format : JPG of less than 2MB)
Degree Certificate :
(Format : JPG of less than 2MB)
(If More then one document):
Degree Certificate :
(Format : JPG of less than 2MB)
Degree Certificate :
(Format : JPG of less than 2MB)
Name of University (Latest)
Degree (Latest)
Year of Graduation (Latest)
Contact Number:(H)(O)(M)
Email:
Vehicle Registration No. :
(For Mandalay Guild House carpark only)
Is the vehicle registered under your name?
Company Name:
Contact Number:Fax
Designation:
Nature Of Business:
Preferred Mailing Address:
Member-Get-Member
Name Of Member:
Member No:
3.CHILD'S PARTICULARS
Click here if applying for Junior Membership
Category A1 (12-15 years old): Add on $5/mth
Category A2 (16-25 years old): Add on $10/mth