Membership Application Form - Professional
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Particulars of Applicant
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First Name *
Last Name *
Contact *
Date of Birth *
Place of Birth *
Nationality *
Email Address *
Address *
Occupation Details
Name of Organisation *
Job Title *
Job Industry *
Interest Areas to Participate in SSTA Program
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Particulars of Spouse
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First Name
Last Name
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Date of Birth
Place of Birth
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DECLARATION
I / My Company hereby declare that the information provided in this form is true in every respect to the very best of my knowledge
I / My Company will observe and abide by the rules and regulations of SSTA and directions of the committee, at all times doing my utmost to preserve SSTA’s statues, dignity and prestige
Amount
Total Sum
Title Paypal
Payment Details
 PayPal You can with Paypal Account or Visa/Master Credit Card
Please make cheque payable to "Singapore Space & Technology Association" and post it to the address below.
To: Singapore Space Challenge Organizer Singapore Space and Technology Association 318 Tanglin Road, Phoenix Park #01-37, Singapore 247979
1. All payments made payable to "Singapore Space and Technology Association" 2. Bank: Standard Chartered Bank (SCB), Singapore (Code: 7144) 3. Branch: Battery Road (Code: 001) 4. Branch Address: 6 Battery Road, Singapore 049909 5. Account Type: Singapore Currency Current Account 6. Account Number: 01-0-214049-9 7. SWIFT Code: SCBLSGSG Please kindly include an additional amount of SS 20 / US$17 for the bank charges if you are using TT.
Please indicate the team name in the bank transfer.
Singapore Space and Technology Association (Membership Terms & Conditions)
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