Spouse Membership Application Form

Personal Particulars of Applicant:
*Denotes Compulsory Fields
Type of Membership *
Salutation *
                                  
Full name (as in NRIC / Passport *)
Given Name


Family Name
NRIC / Passport No. *
(Last 4 characters/ digits of NRIC or Passport number)
Nationality *
Race*
Date of Birth (DD/MM/YYYY)*
Gender
     
Highest Education Attained *
Member's Membership No. *
Member's Name
(as in NRIC/Passport *)
Date of Marriage (DD/MM/YYYY)*
Personal Email *
Home/Apt/Blk #
Contact No *
(Home)  (Mobile)

Photograph Upload
Your Photograph : *
 
(Format : Passport size in jpg of less than 2MB)
Promo Code
Promo Code (if applicable):
Company Information
Company Name
Address/No.
Unit #
 -
Street Name
Building Name
Country
Postal Code
Type of Business
Position/Job Title
Business Email
Business Phone
Business Fax
    



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Copyright © 2019 The National University of
Singapore Society. All Rights Reserved
Web Design by Pixart Pte Ltd