IGAS New Member Application Form 2020
Title *
Family Name *
Given Name *
Singapore Address *
Email *
Phone *
Occupation (Current or Former) *
Concession fee is $15
Clear selection
Irish University/College/Institute *
If applying for Associate Membership please put 'Associate'
Qualification Awarded *
If nor an Irish institution put 'Associate'
Year of Conferment *
If nor an Irish institution put 'Associate'
Other Qualifications
Please list further qualifications obtained in Ireland or elsewhere. Applicants for Associate Membership, please give a brief description of your connection with Ireland.
Date of Birth *
dd/mm/yyyy
Nationality *
Would you be willing to volunteer?
IGAS is volunteer-run and welcomes occasional help from members
Subscription Amount *
Annual Subscription: Ordinary $30; Associate $35; Concession $15
Optional Donation
If you would like to add a donation please choose the amount
Total Paid *
Method of Payment *
Please choose
Required
Comments and Suggestions
Date *
dd/mm/yyyy
By submitting this form I agree to abide by the Constitution of the Irish Graduates Association of Singapore (as may be amended from time to time). *
Declaration
Privacy Statement
The Irish Graduates Association of Singapore is committed to safeguarding your personal data in accordance with the Personal Data Protection Act 2012. Information submitted via this form will only be used within IGAS and not shared with a third party.
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