JUNIOR MEMBERSHIP APPLICATION FORM

1. PARTICULARS OF MAIN MEMBER
Full Name in NRIC / Passport:
(Surname)
(Given Name)
Membership No:
Membership Type:
Home Address:
Blk/ Street Name:
Unit No/ Building Name:
State/ City (if any):
Country:
Postal Code:
Tel:(H)(O)(M)
Email Address
2. PARTICULARS OF JUIOR MEMBERSHIP APPLICANT
i)   Full Name:
Gender:
Preferred Name On Card:
Date of Birth:
NRIC :
H/P No:
Email Address :
Your Photograph :   (Format : Passport size in jpg of less than 2MB)
Birth Cert :   (Format : pdf, png, jpeg, jpg)


ii)   Full Name:
Gender:
Preferred Name On Card:
Date of Birth:
NRIC :
H/P No:
Email Address :
Your Photograph :   (Format : Passport size in jpg of less than 2MB)
Birth Cert :   (Format : pdf, png, jpeg, jpg)


iii)   Full Name:
Gender:
Preferred Name On Card:
Date of Birth:
NRIC :
H/P No:
Email Address :
Your Photograph :   (Format : Passport size in jpg of less than 2MB)
Birth Cert :   (Format : pdf, png, jpeg, jpg)


iv)   Full Name:
Gender:
Preferred Name On Card:
Date of Birth:
NRIC :
H/P No:
Email Address :
Your Photograph :   (Format : Passport size in jpg of less than 2MB)
Birth Cert :   (Format : pdf, png, jpeg, jpg)


DECLARATION BY APPLICANT
  • I agree to my account being debited $5.35*/$10.70* (inclusive of prevailing GST) every month for the Junior Membership subscription fee and undertake to be responsible for all bills incurred by my child.
  • For reinstatement: I agree that a fee of $21.40 (inclusive of prevailing GST) applies.
  • I understand that a Junior member is not a member of the Society under the provisions of its Constitution i.e. he/she has no constitutional rights or privileges.
  • I understand that this privilege may be withdrawn at any time at the sole discretion of the Management Committee.
  • I agree to all terms and conditions listed below and I declare that the particulars provided are correct.

  I HAVE READ AND AGREED TO THE FOLLOWING TERMS AND CONDITIONS