MGSS Registration

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Payment Details

DBS IDEAL

017-902939-2

Myanmar Geologists Society (Singapore)

Member Registration

Complete the form below to apply for MGSS membership.

Personal Information

First Name *

Last Name

Singapore IC/ EP/ SP/ WP No. *

Date of Birth *

Nationality *

Work Phone Number

Personal Phone Number *

Home Phone Number

Home Address *

Working Address

Education Information

Name of University / School (1) *

Date of Graduation (1) *

Degree Awarded (1) *

Name of University / School (2)

Date of Graduation (2)

Degree Awarded (2)

Name of University / School (3)

Date of Graduation (3)

Degree Awarded (3)

Are You a Member of Any Other Organizations (Social/Professional)? *

Yes

What is your gender at birth *

Male

Female

Organization Information

Name of Organization (1)

Status in Organization (1)

Started Date in Organization (1)

Name of Organization (2)

Status in Organization (2)

Started Date in Organization (2)

Name of Organization (3)

Status in Organization (3)

Started Date in Organization (3)

Do you have family members alive? *

Yes

Family Members

Name of Family Member (1)

Name of Family Member (2)

Name of Family Member (3)

Relationship with Member (1)

Relationship with Member (2)

Relationship with Member (3)

Working Status of Member (1)

Working Status of Member (2)

Working Status of Member (3)

Where about of Member (1)

Where about of Member (2)

Where about of Member (3)

Every applicant must normally be proposed by TWO members, who shall have personal knowledge of the applicant. Are you sure that you have been recommended by at least TWO members? *

Yes

(For the proposers) Are you aware that you are recommending that the above named applicant should be admitted to the society as an ordinary member? *

Yes, we recommend that the above named applicant should be admitted to the society as an ordinary member.

Proposer Information

Full Name of Proposer (1) *

Year of Graduation (1) *

Membership Number of Proposer (1) *

Full Name of Proposer (2) *

Year of Graduation (2) *

Membership Number of Proposer (2) *

Are you sure that the information you have entered above are all correct and true? *

Yes

Account Information

Username *

User Email *

Password *

Confirm Password *

Payment Reference Code *

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