Membership Application Form

Membership *

Life - $ 500.00

Associate - $ 20.00

Total Amount

Account

If you would like to create an account on this site, check the box below and enter a Username. If you already have an account please login before completing this form.

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Username

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Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

Application

Saluation

step1

Surname

Given Name *

Name on Card

Chinese characters

Partial NRIC/ Passport Number

Date of Birth

Employment type

Industry sector

Job Title

Mailing Address

Current Country of Residence

Mobile no.

Email Address *

Secondary Email Address (optional)

Year of graduation

Nationality

Primary/ Secondary

Primary

Class

Purpose of joining AA

Attend AA events, activities, webinars etc Networking: Reconnect with other JMM Volunteer and help out at AA events Others

Are you interested to join as a volunteer

Yes No

For verification purposes, please upload proof of attendance, e.g. PSLE/O-Level certificate, Report Book, or CCA records.

Once your membership application is confirmed, you will be able to access your e-card here. We understand some of you would still prefer to have a physical membership card. Please indicate 'Yes' if you would like to receive a physical membership card?

Yes No

Membership Expiration Date

I agree to receive EDMs

Date of Application