Corporate Membership Application Form

Company Details

Company Representatives

How did you know about us ?

Reason for joining Membership

Proposer & Seconder

Applicant's Details

Declaration and Submission

Attach certificate here: *

Please attach the company's Certificate of Incorporation for Local Company or Certificate of Registration for Foreign Company.

File name:

File size:

Add File

Company Name *

(Main applicant)

Address *

Address Line 2

Country *

Postal Code *

Company Email Domain *

[Example: email@domain.com ⇒ domain.com is the email domain]

Company Phone No *

Company Fax No.

Country where company is incorporated *

If wholly foreign owned, please state country of origin.

Business Registration No. / UEN No. *

Company Type *

Type of Industry *

Description of Industry *

Total number of employees *

Paid-up Capital S$ *

Company Annual Turnover S$ *

Subsidiary Details

Name of Subsidiary / Associated Company *

UEN Number *

Attach File *

Please attach the company's Certificate of Incorporation for Local Company or Certificate of Registration for Foreign Company.

File name:

File size:

Add File

Address *

Address Line 2

Country *

Postal Code *

Subsidiary Email Domain *

[Example: email@domain.com ⇒ domain.com is the email domain]

Total Number of Employees *

(for subsidiary or associated companies to be covered under this corporate membership)

Company Type *

Country where company is incorporated *

Type of Industry *

Description of the Industry *

Company Phone No *

Company Fax No.

Company Annual Turnover S$ *

Paid-up Capital S$ *

Subsidiary Contact Email *

Contact Number *

Contact Person

Add Subsidiary

CEO / MD / ED/ Founder / Owner

Name as in NRIC / Passport. Please key in surname in UPPERCASE.

Salutation *

First Name *

Last Name *

Designation *

Department *

Email *

Phone No. *

Accredited Representative

Name as in NRIC / Passport. Please key in surname in UPPERCASE. Accredited Representative has a vote at the Annual General Meeting and will receive all communications on membership matters. Please complete if different from CEO/MD above.

Salutation *

First Name *

Last Name *

Designation *

Department *

Email *

Phone No. *

Alternate Representative

Name as in NRIC / Passport. Please key in surname in UPPERCASE. The Alternate Representative can act on behalf in the absence of the Accredited Representative.

Salutation

First Name

Last Name

Designation

Department

Phone No.

Invoice Recipient

Name as in NRIC / Passport. Please key in surname in UPPERCASE.

Salutation

First Name

Last Name

Designation

Department

Phone No.

How did you know about SIM Society Membership?

Please select only one.

Please specify if you select others:

Checkbox

Networking opportunities
Professional Interest Groups (IGs)
Special rates for executive training programmes
Special rates for membership and IG events
SIM Library resources and services
Attractive sign-up gifts and promotions
Others (please specify)

Please specify:

Name of Proposer

The proposer must be an existing voting member. By proving these details, you hereby declare/confirm that you had obtained the consent from the individual to disclose their personal data for the purposes of this application.

Membership No.

Membership Category

Mobile Phone No.

Name of Seconder

The seconder must be an existing voting member. By proving these details, you hereby declare/confirm that you had obtained the consent from the individual to disclose their personal data for the purposes of this application.

Membership No.

Membership Category

Mobile Phone No.

Name *

Last Name *

Designation *

Email *

Declaration *

I confirm that all information given in this application is accurate and complete to the best of my knowledge. I understand that SIM Society reserves the right to call for the original document(s) for verification. I understand that my application is subject to approval and I will be notified of the membership category assigned to me. I hereby agree to pay the corresponding entrance and annual subscription fees when I receive the notification.

Marketing & Communications *

By ticking this checkbox, I am aware and consent to the use of my personal data for SIM Society to send me communication relating to SIM Society membership matters, notices and newsletters relating to services, products. Announcements, promotions and contests from SIM Society and/or third parties via email or SMS.For SIM Society Personal Data Protection Policy, please click here.

Waiver of Indemnity *

I will not hold SIM Society liable for any loss and damage as a result of my participation in their activities and use of their services on account of any negligence, misconduct or any cause of action howsoever arising.

How many days are there in a year? *