St. Nicholas Alumnae Association

Membership Type :

(Associate membership is applicable for students only) *

Salutation :

* +

Surname :

Name :

* +
(Please place Christian name after your given name)

Chinese Characters :

Name to appear in Membership Card :

NRIC/Passport Number :

Date Of Birth (dd/mm/yyyy) :

Nationality :

Race :

Religion :

Marital Status :

Occupation :

Address :

Residence Contact Number :

Other Contact Number :

Mobile Number :

Email Address :

Year Left St. Nicholas :

* +

Level :

Class :

Highest Qualification Achieved :

Topics of Interest :

(This is for us to notify you on related information)

Remarks :

For Completion Of Associate Membership

School/College/University Currently Studying In :

Standard Pursuing :

Course Pursuing :

Declaration

I hereby declare that the particulars and statements given and contained in this application are true and correct, and that I have not wilfully suppressed any material fact.

I agree to abide by the Constitution of the Association (a copy of which is available upon request).

I further agree to pay the fee for the application of the membership and I am fully aware that the acceptance of this application does not imply approval of the membership and the Association may reject the application at its discretion without assigning any reason thereto.

* = Required Fields
+ = Viewable in search module

Please enclose following fee with your Application form:-

Life Membership

Entrance Fee :	S$100
One Time Subscription :	S$200
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Total :	S$300
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Associate Membership
(eligibility: only for Alumnae who is still pursuing studies)

Annual Subscription :

S$10

Cheque or money order should be crossed and made payable to:-

St. Nicholas Girls' School Alumnae Association
PO Box 060
Thomson Road Post Office
Singapore 915702

email : member@sngsalumnae.org.sg