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Renewal 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. Mailing address(Office/Personal)
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    *Required for Corporate membership
  7. Email (Office/Personal):(*)
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  8. Office/Personal Tel(*)
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  9. Mobile(*)
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  10. Fax
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  11. Type of Membership(*)
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    *Please make sure to choose the correct category
  12. No of Years
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  13. Methods of Payment(*)
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  14. For PayNow Transfer, payable to: Singapore National Institute of Chemistry
    UEN Number: S70SS0010H

    For Bank Transfer, payable to: Singapore National Institute of Chemistry
    Bank Account: DBS Current Account (032-000971-9)

    For Cheque, payable to: Singapore National Institute of Chemistry
    Address: School of Physical and Mathematical Sciences, Nanayang Technological University
    21 Nanyang Link, SPMS-CBC-04-18.5, Singapore 637371
  15. Issuing Bank(*)
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  16. Transaction/Cheque Number(*)
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  17. Total Amount Payable (S$)(*)
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    *ONLY in SGD($)