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Corporate Member Registration Form
  1. Salutation*
    Please enter your Salutation
  2. Surname*
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  3. Name*
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  4. Name of Organisation*
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  5. Designation*
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  6. Nature of Business*
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  7. Mailing address*
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  8. Email*
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  9. Office Tel:*
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  10. Mobile*
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  11. Website
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  12. Type of Membership*
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  13. No of Years*
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  14. Methods of Payment*
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  15. For PayNow Transfer, payable to: Singapore National Institute of Chemistry
    UEN Number: S70SS0010H

    For Bank Transfer, payable to: Singapore National Institute of Chemistry
    Bank Account: DBS Current Account (032-000971-9)

    For Cheque, payable to: Singapore National Institute of Chemistry
    Address: School of Physical and Mathematical Sciences, Nanayang Technological University
    21 Nanyang Link, SPMS-CBC-04-18.5, Singapore 637371
  16. Issuing Bank*
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  17. Transaction/Cheque Number*
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  18. Total Amount Payable (S$)*
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    *ONLY in SGD($)
  19. Code of Ethics Agreement
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  20. Code of Ethics