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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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