Associate Student Membership

Application Form

*Please fill all fields highlighted in RED

How did you get to know us?

Personal Details

Member Name (English)

Member Name (Chinese)

Salutation (English)

Salutation (Chinese)

Gender

NRIC No

DOB

Race

Nationality

LOCAL or PR

Contact Details

Representative Hp No

Mailing Address 1 in Singapore

Mailing Address 2 in Singapore

Mailing Postal Code in Singapore

Mailing Country Singapore

About My Studies

Name of Tertiary Institution

Name of Pursuing Qualifications

Discipline/Specialisation

Year of Commencement

Project Year of Completion

Matriculation No

Others

Preferred Communication Mode

Preferred Language Medium

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Student Membership