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Member Registration Form
  1. Salutation*
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  2. Surname*
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  3. Given Name*
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  4. NRIC/FIN*
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  5. Date of Birth (dd/mm/yyyy)*
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  6. Name of Organisation*
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  7. Designation*
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  8. Working Experience in Chemistry Field*





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  9. Email (Office/Personal):*
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  10. Alternate Email
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  11. Mobile*
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  12. Highest Academic Qualification*
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  13. Photo of Applicant*
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  14.  
  1. Code of Ethics Agreement*
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