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Online Membership Registration |
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If you prefer to register offline and pay by cheque, you may download the application form and mail it to us. |
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Personal Particulars |
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Given Name: |
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Family Name/ Surname:
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Eg, If your name is Cindy Tan Mui Leng; key in "Mui Leng, Cindy" under the Given Name field. key in "Tan" under the Family Name field. |
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Name to Reflect on Card: |
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Preferred Name: |
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Race: |
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Key in the name you'd like to be addressed as, Eg. Cindy Tan |
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NRIC/FIN No: |
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Date of Birth: |
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Occupation: |
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Job Industry: |
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Year of Graduation: |
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Years at CHIJ (Total): |
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Email Address: (will be used as login ID) |
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Mailing Address:
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Blk/ House No.
Road Name: |
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Unit No: (Optional)
Building Name: (Optional) |
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Country:
Postal Code: |
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Home Contact No: |
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Mobile No: (Optional) |
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Office No: (Optional) |
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All the fields are mandatory, unless stated otherwise. |
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Optional |
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Membership Types |
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Ordinary- $80 |
Ordinary (Students below the age of 25) - $10 |
Associate - $80 |
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Payment Mode
- Cheques
All cheques should be crossed and made payable to CHIJ Alumni Association, and mailed to
626 Toa Payoh Lor 1 Singapore 319764
- Paypal
Please click "Pay Online" button for made online payment.
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