Australian Alumni Singapore: Register

Register

Display name

Email address

Password

Password (again for verification)

Select Membership (Individual or Institutional)
Individual
Institution

Individual Membership Registration

Institution Membership Registration

*You are required to fill up all the tabs shown below.

Institutional Membership
Institution Membership - (S$200 per anum)

Company Name

Place of Incorporation

Registration Number

Membership
Ordinary Individual - S$25 per anum
Associate Individual - S$25 per anum
Lifetime Individual - S$250

Salutation

First Name

Family Name

Gender

Date of Birth

Nationality

NRIC/Passport No.

Address Line 1

Address Line 2

City

State (N/A if not applicable)

Postal

Country

Contact Number (with country code, i.e. +65-1234 5678)

Fax

Company

Job Title

University/Institution

Year of Graduation

Qualification

University/Institution (Optional)

Year of Graduation

Qualification

University/Institution (Optional)

Qualification

Year of Graduation

We agree to be bound by the Constitution of Australian Alumni of Singapore.

Salutation

First Name

Family Name

Job Title

Department

Gender

Nationality

NRIC/Passport No.

We agree to be bound by the Constitution of Australian Alumni of Singapore.

Items marked with a * are mandatory

Register

Next

Next

Next

Next