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INDIVIDUAL MEMBERSHIP APPLICATION FORM

Instructions : Please complete the following for individual membership before returning the form. The Commitee shall review and inform your application status in due course.


Membership Secretary
Plastics and Rubber Institute of Singapore
Tanglin Post Office Box 354
Singapore 912412

Individual MEMBERSHIP APPLICATION FORM

To: Membership Secretary, Plastics and Rubber Insitute of Singapore

 

Name of Applicant: _____________________________________________________________

Mobile Number: ________________________________________________________________

Name & Address of Company:

_____________________________________________________________________________

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Office Telephone: ______________________________________________________________

Email Address: ________________________________________________________________

Job Title / Responsibilities:

_____________________________________________________________________________

Course / Institution: ____________________ Year Graduated: __________________________

Course / Institution: ____________________ Year Graduated: __________________________

Course / Institution: ____________________ Year Graduated: __________________________

Employment History: (Please provide details)

_____________________________________________________________________________

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