Please fill in the following information so that the membership committee can know you better.
I am a Singapore Citizen
(membership is only open to Singapore Citizens)
I am 18 years' old and above
Surname/ Family Name
First/ Given Name
Please write your address in the same format as your NRIC address. Write your postal code in the next line.
Please check your email again before you proceed to the next item.
I can be contacted at the mobile telephone below
Please check your telephone carefully. This is required only for us to get in touch with you.
Other Number (optional)
Please check your telephone carefully
Date of Birth
Highest Educational Level
No Formal Schooling
Junior College/ Pre-University
Current Employment Status
Have you been or are you now a member of any political party in Singapore?
Yes I am still a member of another political party
Yes but I am no longer a member
If your answer is Yes to the above, please tell us the party or parties (please tick all that apply)
Democratic Progressive Party
National Solidarity Party
Pertubuhan Kebangsaan Melayu Singapura (PKMS)
People's Action Party
Singapore Democratic Party
Singapore Justice Party
Singapore People's Party
DECLARATION (please tick all the boxes)
The annual ordinary membership fee is S$10. We shall provide you with more information after your application is accepted.
I acknowledge that my application will be reviewed by the membership committee and the party may at its absolute discretion refuse my application.
I declare that all the information above is true and correct
Signature (please write your name if you are signing online)
A reminder: I have carefully checked through all the entries above and they do not have errors.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service