IGAS Membership Application 2017
Title
Your answer
Family Name
Your answer
Given Name
Your answer
Singapore Address
Your answer
NRIC
Your answer
Email
Your answer
Phone
Your answer
Occupation (Current or Former)
Your answer
Concession
Irish University/College/Institute
If applying for Associate Membership please put 'Associate'
Your answer
Qualification Awarded
Associate as above
Your answer
Year of Conferment
Associate as above
Your answer
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.
Your answer
Date of Birth
dd/mm/yyyy
Your answer
Nationality
Your answer
Year Joined IGAS
Your answer
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
Your answer
Optional Receipt
IGAS subscription is not tax deductible. However, if you require a receipt for other purposes we can send one.
Method of Payment
Please choose
Comments and Suggestions
Your answer
Date
dd/mm/yyyy
Your answer
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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