EMBALMERS ASSOCIATION SINGAPORE - ONLINE APPLICATION FOR MEMBERSHIP

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CONSENT & ACKNOWLEDGEMENT

1. By completing this form, you hereby consent that the EMBALMERS ASSOCIATION SINGAPORE (EAS) in accordance with Personal Data Protection Act 2012, may collect, use, disclose and/or process your personal data so as to process, administer and/or manage your relationship with us as a member of EAS. Your personal data privacy is important to us and we are committed to safeguarding your personal data that we may possess. If you wish to withdraw your consent, kindly email membership@eas.org.sg

2. I certify that the statements contained are true. I agree that in the event of my admission to any category of membership, I will be governed by the Constitution of Embalmers Association Singapore.

3. I will also submit the following documents via a separate email to membership@eas.org.sg:
a) A copy of my ID/Passport
b) Copies of relevant educational / training transcripts
c) Copies of relevant testimonials (if any)
d) Any other relevant documents that are able to support my application as a member.

4. The outcome of this Application of Membership will be made known to me within 5 working days from the day I submit this online form where instructions on the payment mode of my application for membership will also be emailed to me.

5. I will adhere to the Constitution of EAS if I am accepted as a member.

Email *

1. CATEGORY OF MEMBERSHIP *

Practicing Membership

Associate Membership

Student Membership

Required

2. PERSONAL PARTICULARS

Full Name: Dr / Mr / Mdm / Mrs / Ms *

Gender *

Female

Male

Country of Birth (e.g., Singapore) *

Citizenship (e.g., Singaporean) *

NRIC / FIN No *

Date of Birth *

YYYY

Marital Status *

Single

Married

Divorced

Separated

Other:

Race (e.g., Chinese, Malay, Indian etc) *

Religion (e.g., Christianity, Islam, Buddhist etc.) *

Home Address *

Postal Code *

Home Telephone Number *

Handphone Number *

Email *

3. EDUCATIONAL LEVEL

Highest Educational Level achieved / Year Completed *

State Embalming related course / qualification (s) e.g., Diploma in Embalming (if any) / Name of School / Year Graduated *

Other Qualification(s) *

4. EMPLOYMENT STATUS

Present Employment Status *

Employed

Self-Employed

Other:

Required

Designation / Position in Company (e.g., Manager, Director etc.) *

Name of Company / Employer *

Address of Company / Employer *

Postal Code *

Office Phone No *

5. MEMBERSHIP IN OTHER ASSOCIATION(S)

Please state Membership and Position in other Associations (if any):

Name of Association / Year Joined / Position *

6. DESCRIPTION OF MEMBERSHIP AND MEMBERSHIP FEES

Choose only ONE (1) of the Membership Categories listed below i.e., Practicing Membership, Associate Membership OR Student Membership.

A one-time entrance fee of SGD$20.00 applies to all categories EXCEPT for the Student Membership Category.

PRACTICING MEMBERSHIP

1 YEAR (SGD$300.00)

2 YEARS (SGD$280.00)

3 YEARS (SGD$250.00)

Clear selection

ASSOCIATE MEMBERSHIP

1 YEAR (SGD$250.00)

2 YEARS (SGD$220.00)

3 YEARS (SGD$200.00)

Clear selection

STUDENT MEMBERSHIP

1 YEAR (SGD$80.00)

2 YEARS (SGD$50.00)

3 YEARS (SGD$30.00)

Clear selection

7. DECLARATION

Kindly tick the appropriate box below.

Do you have any existing medical condition, physical impairment or substance dependence? *

Yes

Do you have any existing criminal records in Singapore or in any other country? *

Yes

Have you ever been charged with any offence in a court of law in Singapore or in any other country for which the outcome is still pending? *

Yes

Are you currently under police investigation in Singapore or in any other country? *

Yes

Are you an undischarged bankrupt or do you have any outstanding unsecured debts? *

Yes

I acknowledge that all information stated in this online membership application form is truthful to the best of my knowledge. *

Yes

Thank you for your interest in becoming a member of EAS. We will get back to you on the outcome of your application via email within 5 working days.

SECRETARIAT, EMBALMERS ASSOCIATION SINGAPORE.

A copy of your responses will be emailed to the address you provided.

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