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Corporate Member Registration Form
  1. Salutation(*)
    Please enter your Salutation
  2. Surname(*)
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  3. Name(*)
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  4. Name of Organisation(*)
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  5. Designation(*)
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  6. Nature of Business(*)
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  7. Mailing address(*)
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  8. Email(*)
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  9. Office Tel:(*)
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  10. Mobile(*)
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  11. Entrance Fee(*)
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  12. Type of Membership(*)
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  13. No of Years(*)
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  14. Methods of Payment(*)
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  15. Bank Transfer To: DBS Current Account (032-000971-9)
    For Cheque, payable to: Singapore National Institute of Chemistry
  16. Issuing Bank(*)
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  17. Transaction/Cheque Number(*)
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  18. Total Amount Payable (S$)(*)
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    *ONLY in SGD($)