APPLICATION FOR MEMBERSHIP

1. Self and Family Particulars:

Name : Mr/Ms/Dr____________________________________________________NRIC /PP No.____________________

Qualifications ( Optional ) Institution /Place

Profession : ________________________________________________________Organization :_____________________

Spouse Name :______________________________________________________________________________________

Qualifications ( Optional ) Institution /Place

Profession : ________________________________________________________Organization :_____________________

Children :
Name Sex Age

2.ADDRESS : Block: Unit No :

Street :_____________________________ Area:________________________ Singapore

Phone : Home : 66 Mobile /Pager : 9

Office : Email : ________________________________________________

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3. Interest in extra curricular activities / Hobbies of Self and family ( Check all applicable ):

Prayers /Bhajans Drama Dance Movies

Games Literary Activities Music Others

4.Member Ship : Self ( Annual ) S$15 Spouse ( Annual ) S$10 Self ( Life ) S$150

Spouse( Life) S$100 Admission Fee (New members) Membership Card(annual) S$2
(Admission and member ship card fee exempt for Life members) (Application along with cheque may please sent to below address)
Signature: Introduced By Date
__________________________________________________________________________________________________
( For Official Use only – This form should finally reach the Hon. Secretary )

Region : North/West/East/Central Membership No. Date Receipt No Amount received