HOME > MEMBERSHIP > INDIVIDUAL MEMBERSHIP

INDIVIDUAL MEMBERSHIP APPLICATION FORM

Instructions : Please complete the following upon studying the schematic route for membership and return the form(also available in pdf format) with duplicate copies of substantiating certificates to:


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

Individual MEMBERSHIP APPLICATION FORM

 

Name of Applicant: _____________________________________________________________

Address (Home): _______________________________________________________________

Telephone (Home): ____________________ (Handphone): ____________________________

Name & Address of Office: _______________________________________________________

_____________________________________________________________________________

Office Telephone/Fax: __________________________________________________________

Email Address:_________________________________________________________________

Job Title / Responsibilities:

_____________________________________________________________________________

Date of Birth:__________________________________________________________________

Course / Institution: ____________________ Year Graduated: ________________________

Employment History:

(Please provide details of Job Title/Company/Years of Service)

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

For upgrading, please indicate:

Current PRIS membership grade: ____________________

Grade applying for: _______________________________

Date of Application: _______________________ Signature: ___________________________