Page 2 - Membership Application

申请人就业资料 Information of Employer

申请人就业状况 Present Employment Status: 失业 Unemployed 自雇 Self-Employed 退休 Retired 就业 Employed

现工作单位 Employer: 职位 Job Title:

办公地址 Office Address:

单位及本人所从事工作介绍 Profile of the employer and description of your job:

会员注册费 Registration Fee: 普通会员 General Member: S$50 ; 学生会员 Student Member: S$30。
请开划线支票至 Crossed cheque payable to: Shandong Association (Singapore), 并请注明申请人姓名

个人信息保护条例 Personal Data and Protection Acts (PDPA)

本人同意收集、使用和保留我的个人资料用于评估、处理和管理我的会员资格。
I consent to my personal data being collected, used and retained for the purpose of evaluating, processing and managing my
membership.
本人完全明白收集、使用以及披露我的个人资料是为了履行、服务及管理我的会员资格。
I acknowledge that the collection, use and/or disclose of my personal data is for the purpose of fulfilling, servicing and managing my
membership.

申请人声明及签署 Declaration & Signature of Applicant

本人自愿申请成为新加坡齐鲁会会员，并遵守本会章程和相关规定。
I hereby apply for membership of Shandong Association (Singapore) and agree to abide the Constitution, all rules and resolution of the
Association as may from time to time be in force.
本人保证以上填写所有内容正确属实。本人明白如果在申请表上所填写的个人资料有任何改变，我有责任立即通
知新加坡齐鲁会。
I declare that the information provided by me in this membership application is true and correct to the best of my knowledge as at the
time of submission. I understand it is my responsibility to inform the Association as soon as is practical of any changes to my personal
particulars or information as set out in this application form.

申请人签名 Signature of Applicant: 申请日期 Date of Application: dd/mm/yyyy

理事会审批 For official use only

会员组批准(Approved by Membership Committee): 理事会批准(Approved by Executive Committee):
日期(Date): 日期(Date):

会员编号 Membership Serial Number: