Individual Membership Application Form
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*:MaleFemale
Nationality*:
Home Address*:
Personal Contact (Home):*
Mobile*:
Email*:
Personal Website:
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. *