Individual Application

Fields marked with an * are required

New Member - Annual Fee: S$200.00 + One time admin fee of S$200.00Renewal (for existing members) - Annual Fee: S$200.00

INFORMATION

Full Name*:

Date of Birth (DDMMYYYY)*:

Gender*:

Nationality*:

Home Address*:

Personal Contact (Home):*

Mobile*:

Email*:

Personal Website:

Industry

Aerospace
Consumer Businesses
Creative Industries
Electronics

Energy & Chemicals
Infocomm Tech
Logistics & Supply Chain
Oil & Gas

Medical Technology
Natural Resources
Pharmaceutical & Biotechnology
Precision Engineering

Professional Services
Urban Solutions & Sustainability
Others:

Years of professional practice:*

Countries where you have worked as a professional:*

Education & Highest Qualification achieved:*

Company*

Designation*

Company Website*

Email*

Contact: (Office)*

(DID)*

(Fax)

What would you like us to do for you? Please rank in order of preference from 1 to 5, 1 being the most important.

Company Capability Development

Partnership Opportunities

Overseas Expansion

Professional Certification

Others (please specify)

I agree that all information provided in this application are true. *

Design Business Chamber Singapore.

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