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                             Application For Membership 2004

Full Name
Occupation Citizenship
IC/Passport No Gothra
Date of Birth Marital Status
Name of Spouse (if married)
Residential Address     Tel No
Office Name/Address     Tel No
E-Mail Address Proposed By :

                                                                 (Signature of the applicant)

   Rates of Subscription                                                            Life                    Ordinary

Members residing in Singapore/Malaysia                             S$ 750                    S$50      

Members residing in other countries                                     S$ 1000                   S$70              

(Ordinary Membership will lapse on 31st December every year)                                

Complete this form, download and send your application along with cheque payable to 'SDBBS' by post