Application
Membership Details
* Mandatory fields
Membership Type *
No. of Year(s) *
Gift Code
Personal Particulars
Name *
NRIC / FIN No. * (Last 4 alphanumeric characters only. Eg. "123G")
Date of Birth (DD/MM/YYYY) *
Salutation *
Gender *
Personal Email Address *
(Due to internet separation, please provide us with your personal email address in order to receive the Club's E-Newsletter)
Contact No. *
Nationality *
Race *
Marital Status *
Postal Code *
Building / Block / House No. & Street Name
Unit No.
Vehicle Details
Vehicle No.
Vehicle IU No.