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Salutation(*)
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Surname(*)
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Name(*)
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Name of Organisation(*)
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Designation(*)
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Mailing address(Office/Personal)
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*Required for Corporate membership
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Email (Office/Personal):(*)
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Office/Personal Tel(*)
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Mobile(*)
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Fax
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Type of Membership(*)
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No of Years
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Methods of Payment(*)
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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
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Issuing Bank(*)
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Transaction/Cheque Number(*)
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Total Amount Payable (S$)(*)
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*ONLY in SGD($)
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