No. of members (a team can consist of a minimum of three and a maximum of five members) *
3
4
5
Team of
3
4
5
Team of
Salutation *
Your answer
First Name *
Your answer
Last Name *
Your answer
Indicate Name to be shown on Certificate *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
School Email *
Your answer
Personal Email *
Your answer
Mobile *
Your answer
Team Member type (Leader / Member) *
Your answer
Course of Study *
Your answer
Year of Graduation *
Your answer
Any Food allergies/Dietary Restrictions? *
Your answer
I hereby authorise, agree and consent to allow SHRI and its affiliates to use my data that is prevailing to the terms and conditions that can be found at https://shri.org.sg/privacy-policy/
*Please fill in Yes / No
*
I hereby consent to my information (my name, designation, company and email address/es) to be published in SHRI’s Membership Directory. *