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Renewal Registration Form
  1. Salutation(*)
    Please enter your Salutation
  2. Surname(*)
    Invalid Input
  3. Name(*)
    Invalid Input
  4. Name of Organisation(*)
    Invalid Input
  5. Designation(*)
    Invalid Input
  6. Mailing address(Office/Personal)
    Invalid Input
    *Required for Corporate membership
  7. Email (Office/Personal):(*)
    Invalid Input
  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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  12. No of Years
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  13. Methods of Payment(*)
    Invalid Input

  14. Bank Transfer To: DBS Current Account (032-000971-9)
    For Cheque, payable to: Singapore National Institute of Chemistry
  15. Issuing Bank(*)
    Invalid Input
  16. Transaction/Cheque Number(*)
    Invalid Input
  17. Total Amount Payable (S$)(*)
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    *ONLY in SGD($)