Member Registration
Basic Info
NRIC:
*
S
T
F
G
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
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R
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T
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NRIC Type:
*
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Pink
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Other
Last Name:
Mr.
Ms.
Mrs.
Miss.
Dr.
Prof.
First Name:
*
Name in Chinese:
*
Title:
Gender:
*
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Male
Female
Date of Birth:
*
Place of Birth:
Nationality:
Photo:
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Contact Info
Country:
*
Post Code:
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Residence Address:
*
Floor-Unit:
Tel Home:
Tel Office:
Email:
*
Mobile:
*
Additional Info
Occupation:
Company Name:
Industry:
Education Level:
Hobbies:
Religion:
Marital Status:
Spouse Name:
Native Home Town:
Referral 1:
Referral 2:
I hereby apply for admission as a member of the above Association, and agree to observe and respect all Rules and Regulations of the Association and Resolution passed at all meetings
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