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.
Email address *
First Name *
Last Name *
Form Category *
Membership type *
Gender *
Marital Status
Last 3 digits & alphabet of NRIC/FIN/Passport (eg. 333F) *
Nationality *
Required
Date of birth *
MM
/
DD
/
YYYY
Kindly verify your date of birth in free text form eg. 12 July 2000 *
Mailing address (pls include postal code) *
Contact number *
Race
Religion
Dialect group (If not applicable, state “N.A.”)
Professional qualifications *
Name of University/institution
Name of current employer/company *
Designation in current employer/company *
Address of current employer/company *
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
*
Required
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Required
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Required
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Required
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