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Individual Membership Application

Membership Type *
Membership Type Entrance Fee *  Annual Subscription *
$ 107.00 $ 64.20
$ 80.25 $ 42.80
$ 107.00 (New members)
Nil (Existing members)
* All the above fees are inclusive of GST and are subjected to a one-time full payment.
PERSONAL PARTICULARS
Name *
Title *
NRIC/FIN No. *
Home Address *
Postal Code *
Contact No.
Email *
Gender *
Nationality *
Race *
Marital Status *
Date of Birth *
How did you first come to know about MDIS? :
PAST WORKING EXPERIENCE
Name of Company *
Address
Postal Code *
Designation *
Years of Working Experience
PROFESSIONAL ACADEMIC QUALIFICATIONS *
Duration Qualification * Institution *
To
To
To
* Please submit a copy of your highest qualification to us via email to members@mdis.edu.sg or fax it to 6796 7800. Kindly indicate the attachment as new application.
PAYMENT DETAILS
Cash
Cheque Number (By Mail)
Credit Card Holder Name
Card Number
Expiry Date  / 
DECLARATION

I confirm to, and accept responsibilities for, the accuracy of the information provided in this form, the validity of which this application depends. In accepting membership, I undertake to abide by the Constitution of the Institute.

MDIS values your privacy and we are committed to safeguarding your personal data in compliance with the Personal Data Protection Act 2012. By providing your personal details, you have authorised MDIS to share with you our marketing, advertising and promotional materials.

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Local Enquiries
etc@mdis.edu.sg
+65 6247 9111
ib@mdis.edu.sg
+65 6278 8000
International Enquiries