Individual Membership Application · Customer Self-Service

General

First Name

*

Last Name

*

Last Lame (Chinese)

*

First Name (Chinese)

*

Salutation

Gender

Date of Birth

*

ID No. (First 4 letter and digits)

*

Email

**

Mobile Phone

*

Secondary Phone

*

Mailing Address

*

F.5 or above

NoYes

Occupation

*

Membership Type

Membership Scheme

Membership Fee

*

Payment Method

Notes

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