Transfer Membership Application Form

Membership Application :
Are you the Seller/Buyer:
Transfer of the National University of Singapore ("NUSS") Membership (Associate/Ordinary) Application and Declaration Form
Name of Member
Membership No
Address of Member
Tel:(H)(O)(M)
Hereby apply to an if approved, irrevocably authorise the transfer of my NUSS Membership to
Name of Member
NRIC/Passport No. (Last 4 characters):
Address of Member
Tel:(H)(O)(M)
Agreed Price $
DECLARATION BY APPLICANT

In accordance with Article 14 of the Constitution of NUSS, l, the above (Transferor), hereby submit this application to effect the transfer of my membership to the following (Buyer):


l, the above (Transferor), hereby also declare and agree to the following terms and conditions:

  • a) I shall indemnify and hold NUSS and its Management Committee (officers and employees) harmless from all claims, demands, actions, proceedings, liabilities (including statutory liability and liability to third parties), penalties, and costs (including without limitation, legal costs on a full indemnity basis), awards, losses and/or expenses, arising from the sale of my NUSS membership.
  • b) I have never committed an act of bankruptcy or been adjudicated a bankrupt either in Republic of Singapore or in any other country and that l am not aware of any bankruptcy proceedings pending against me in Singapore or elsewhere.
  • c) I do not have any pending disciplinary case brought by NUSS against me under the Constitution of NUSS.
  • d) That this transfer will be considered only upon full payment of the relevant transfer if such a transfer fee of $4,280 or $214 for family transfer (inclusive of GST) is applicable and all outstanding balance due to NUSS. The transfer fee is subject to Article 14(5) of the Constitution of NUSS.
  • e) The transfer form shall be effective only when NUSS confirms the receipt of the form.
  • f) This application for transfer is at the sole discretion of NUSS.
  • g) i shall be liable for my membership subscriptions and any outstanding charge(s) due to NUSS and incurred on my Monthly Statement of Account inclusive of the month in which the transfer is approved.
  • h) i am not subject to Article 14(6) of the Constitution of NUSS that would disallow me to transfer my membership.
  • i) I shall inform the Society in writing within fourteen (14) days upon receipt of the Buyer’s cheque that the payment to me is in good order. The transfer shall only be deemed complete after such confirmation.

  I HAVE READ AND AGREED TO THE FOLLOWING TERMS AND CONDITIONS.