APPLICATION FORM

APPLICATION FOR NAME TO BE ENTERED
IN THE MEMBERSHIP REGISTER
9, Jalan Bukit Merah, Singapore 169543
Tel: 63272004 / 5 / 7 Fax: 63272009
The Executive Committee
Central Sikh Gurdwara Board
Singapore
Dear Sir
I wish to have my name entered as a Member in the Membership Register. My particulars are
as given below:
Name: ______________________________________________________________________
Alias (if any):__________________________________________________________________
Address:_____________________________________________________________________
____________________________________________________________________________
Tel: Home: _________________Office:______________________Fax:___________________
Email address: _________________________________________Mobile No.:______________
Date of Birth: ________________ Age: ____________________________________________
Nationality: ___________________________________________________________________
Identity Card Number: __________________________________________________________
Occupation/Profession: _________________________________________________________
I donate the sum of _________________________.

Signature: ___________________ Date: _____________________

For Official Use
Date received: ________________________________

Approved/Not Approved: ______________________ Date: ________________

* Minimum donation required for the membership is S$2,350.00
* Cheques are payable to CENTRAL SIKH GURDWARA BOARD

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