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UPDATE MEMBERSHIP INFO
Update of Member's Personal Information
 Part 1: Principal Member's Particulars
Membership No.  *
Salutation 
Name of Principal Member  *
Name on card * (Limited to 19 characters only)
Sex  *
Marital Status  *
NRIC/Passport No.  *
Date of Birth  / /
Nationality  *
Race  *
Residential Address  
Postal Code 
Residential Tel. No. 
Mobile Phone/Pager 
Email  *
Profession/Position 
Name of Company 
Company Address 
Company Postal Code 
Business Tel. No. 
Fax No. 
Billing & Correspondence 
Address: 
Residence    Business
Vehicle make/model 
License Plate No. 
 
 
 Part 2: Spouse's Particulars
Salutation 
Name of Supplementary 
Member: 
Name on card  (Limited to 19 characters only)
Sex 
NRIC/Passport No. 
Nationality 
Date of Birth  / /
Vehicle make/model 
License Plate No. 
 
 
 Part 3: Children's Particulars
Name of 1st Child 
Date of Birth  / /
Sex 
Birth Cert No. 
2nd Child Personal Information
Name of 2nd Child 
Date of Birth  / /
Sex 
Birth Cert No. 
3rd Child Personal Information
Name of 3rd Child 
Date of Birth  / /
Sex 
Birth Cert No. 
(*) Required Field
 
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