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Membership Application Form
*
Type of Membership
Ordinary
Associate
1. Applicant's Particulars
*
Email
Title
Select
Mr
Mrs
Ms
Mdm
Dr
Prof
Assoc. Prof
*
Full name as in NRIC/Passport
Surname
Given name
*
Preferred Name on Card
NRIC/Passport No.
*
Nationality
*
Date of Birth
*
Gender
Select
Male
Female
Marital Status
Select
Single
Married
Divorced
Widowed
*
Qualifications Attained
Name of University
Degree
Year of Graduation
1.
2.
*
Contact No
Mobile
Home
Office
*
Home Address
Block/House No.
Unit
Street
Postal Code
Company Information
Company Name (if any)
Type of Business
Position/Job Title
Mailing Address
Block No.
Unit
Street
Postal Code
Fax No
*
Preferred Mailing Address
Home
Office
2. Spouse's Particulars (If applying for Spouse Membership)
Email
Title
Select
Mr
Mrs
Ms
Mdm
Dr
Prof
Assoc. Prof
Full name as in NRIC/Passport
Surname
Given name
Preferred Name on Card
NRIC/Passport No.
Nationality
Date of Birth
Gender
Select
Male
Female
Date of Marriage
Qualifications Attained
Name of University
Degree
Year of Graduation
1.
2.
Contact No
Mobile
Home
Office
Company Information
(optional)
Company Name (if any)
Type of Business
Position/Job Title
Mailing Address
Block No.
Unit
Street
Postal Code
Fax No
*
3. I came to know about NUSS The Graduate Club through:
Select One
Career Networking Events & other events organized by nuss.meetingplace.com.sg
Campaigns & Emails received from nuss.meetingplace.com.sg
Careers & Job Alerts received from nussLINK
Information provided on nuss.meetingplace.com.sg
Recommendations by members of nuss.meetingplace.com.sg
Others
If Others, please specify:
1. I, the applicant, understand the membership terms and declare that the particulars in this application are correct.
2. I understand that the entrance fee is
non-refundable
. The balance of the entrance fee, if any, becomes due and
payable immediately in the event of resignation or expulsion from the Society
.
3. I am personally liable for the payment of the membership dues and charges incurred by me, my spouse and my guests in the use of the Society's facilities.
4. I agree to receive emails and other publicity materials from the Society and may choose to unsubscribe upon receipt of such emails.
5. I agree to comply with and be bound by the Constitution, Rules and Regulations of the Society, as may from time to time be in force.
I have read and accepted the declaration above.
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