会员申请表格
Membership E-Application Form

申请人资料 Applicant Particulars

姓名 (Chinese)

Surname (英文) *

Given Name (英文)

身份证最后四个号码(Last 4 digits of NRIC)

出生日期 (Birth Date)*

国籍 (Nationality)

祖籍 (Ancestral Hometown)

出生地 (Place of Birth)

宗教信仰 (Religion)

性别 (Gender)

婚姻状况 (Marital Status)

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联系与地址 (Mailing Address)

手机 (Mobile Phone)

联络住家电话 (Home Phone)

电邮 (Email)*

地址 (Address)

国家 (Country)

邮区 (Postal Code)

机构或公司资料 (Company Information)

机构或公司名称 (Name of Company)

行业 (Industry)

职业 (Designation)

机构或公司传真 (Fax)

机构或公司电话 (Office Phone)

网址 (Website)

地址 (Address)

国家 (Country)

邮区 (Postal Code)

请选择可通过以下哪个方式与您联络: 请选相关的选项。Please select accordingly

 

微信(Wechat)

 

WhatsApp

 

电话 (Phone)

 

电邮 (Email)

 

简讯 (SMS)

 

邮寄 (Mailing)

条款和条件。 Terms and Conditions

本人证实所填具的个人资料属实,并谨以至诚申请加入新加坡潮州八邑会馆会籍,遵守所有章程与规则 。

I hereby confirm that the information provided is correct and undertake in the event of being accepted as a member, to abide by the Rules and Regulations of the Association

本人同意八邑会馆使用我的个人资料,用于发送会馆活动、服务、调查研究及信息。

I give my consent for TPIHK to collect, use and disclose my personal data for the purpose of conducting TPIHK's analytics and research activities, event notification and publicity and TPIHK news dissemination only.

介绍者 Introduced By

姓名 (Name)

注明 "新加坡潮州八邑会馆" 并呈交与新加坡潮州八邑会馆秘书处 (入会费 S$100.00 包括 7% 消费税,年捐为乐捐)。

Payment to "Teochew Poit Huay Kuan" and Sumbit to the Secretariat Teochew Poit Ip Huay Kuan (Entrance Fee S$100.00 inclusive of 7% GST, Annual Subscription fee shall be paid in any amount which a member wishes to contribute)