Podiatry Association (Singapore) Membership Application
(i) Your membership application is subject to approval by the Podiatry Association (Singapore). Further verification of information may be required. (ii) Items marked * are compulsory data fields (iii) You may make membership payment only after your application has been approved via email (iv) Do check that your details are correct prior to submission.
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Form Category
*
New application
Membership renewal
Gender
*
Female
Male
Marital Status
*
Your answer
NRIC/FIN/Passport no.
*
Your answer
Nationality
*
Singaporean
Singapore PR
Other:
Required
Date of birth
*
MM
/
DD
/
YYYY
Residential address (pls include postal code)
*
Your answer
Contact number
*
Your answer
Race
*
Your answer
Religion
*
Your answer
Dialect group (If not applicable, state “N.A.”)
*
Your answer
Professional qualifications
*
Your answer
Name and Address of Current Employer/Company, Department & Position Held
*
Your answer
State present membership in other registered societies in Singapore, and if an officer, indicate the title of office held and whether earning income from holding that office. If not applicable, state “N.A.”
*
Your answer
I declare that I do not have recent (3 years) or ongoing professional or disciplinary review(s) relating to my work as a podiatrist
As an allied health professional in Singapore and a member of the Podiatry Association Singapore, I agree to uphold the Allied Health Code of Professional Conduct (the Code)
I have read the Code (
http://www.healthprofessionals.gov.sg/content/hprof/ahpc/en/leftnav/code_of_ethics.html
)
*
I will keep the Podiatry Association (Singapore) informed of changes in relevant information & professional standing
Required
*
I declare that the above information given by me are true and correct and that I have not wilfully suppressed any material fact
Required
Send me a copy of my responses.
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