Life Membership Application Form

Salutation *

Given Name *

Name on card *

DOB *

Surname *

Chinese Character *

Partial NRIC/Passport Number *

Nationality *

Mailing Address

Residential No.

Mobile No.

Mail Address *

Secondary Email

Year of graduation

Class

Primary/Secondary

Label

For Verification Purpose

Drop your file here or click here to upload You can upload up to 1 files

Would like to receive physical membership card

User Password *

Password Field

Areas of Interest *

Label

Are you interest to join as a volunteer