Application for Ordinary Membership

Please submit the information required and we will process your application.

One-time Entrance Fee of $100 (Non-Refundable)

Subscription Fee	Below $1,500	Above $1,500
Single	$8/mth	$15/mth
Family	$12/mth	$20/mth

*Prevailing GST applies

Personal Information

Name as in NRIC/Passport *

Salutation *

Date of Birth *

Nationality *

Race *

Male

Female

Single

Married

Others

Address 1 *

Address 2 *

Postal Code

Contact Information

Email Address *

Mobile *

Home

Office

Vehicle Information (To provide a copy of vehicle details from LTA)

Vehicle No

In-Vehicle Unit (IU)

Employment Information

Company

Date Joined Company

Grade

Staff No

Designation

Division

Department

Salary: Basic plus NWC Allowances *

Family Members

Add a family member:

Notes:

1. Please be informed that once your membership is activated, any termination of membership will not result in any refund of subscription fees, including the one-time payment of the entrance fee.

2. After termination of your membership, you cannot re-apply until 6 months later.

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