Association of Women Doctors (Singapore) membership form
Please fill this membership form up and pay the membership fee through sending us a cheque. Information will be only kept by the secretary and secretariat.

Upon completion, print this form and send this with a cheque to:
c/o Levarill, Strategic Development & Philanthrophy, EYE ACP
Singapore National Eye Centre11 Third Hospital Ave, Level 8
Singapore 168751.

Please cross your cheque to: Association of Women Doctors (Singapore).

Visit our website (https://www.awds.org.sg) or email the secretariat (secretariat@awds.org.sg) to find out more about the association or if any issues regarding membership.
Email address *
Name *
Date of birth *
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Home mailing address *
Office mailing address *
Contact number *
Year of graduation *
Institute basic medical/ dental degree obtained from? *
Specialty *
Required
Likely areas of involvement *
Required
These are the membership fees
Please indicate which type of membership you are applying for *
Date when the cheque and form was sent: *
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A copy of your responses will be emailed to the address you provided.
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