Please read Annex A carefully before completing the form.
1. APPLICANT'S PARTICULARS
Preferred Name on Card
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)
Tel:(H)(O)(M)
Email:
Preferred Mailing Address:
Vehicle Registration No. :
(For Mandalay Guild House carpark only)
Is the vehicle registered under your name?
Company Name (if any):
Tel:Fax
Designation:
Nature Of Business:
(Click here if applying for Spouse Membership)
2.SPOUSE'S PARTICULARS
Preferred Name on Card
NRIC / Passport No: (Last 4 characters/ digits of NRIC or Passport number)
Nationality:
Spouse's Photograph :
(Format : JPG of less than 2MB)
Highest Education Attained:
Company Name (if any):
Tel:Job Title:
Designation:
Nature Of Business:
Email:
Member-Get-Member
Name Of Member:
Member No: