Junior Membership Form (Credit Card Payment) Please type your surname in CAPS. Name (as in NRIC/FIN) Nationality ---FemaleMalePrefer not to disclose Gender Date of Birth (Please select the date from the calendar pop-out or type it out in YYYY-MM-DD format.) Home Address Home Address Postal Code Mailing Address (if different from home address) Mailing Address Postal Code Phone Email Occupation Name of School Interests* TalksForumsLanguageSingingOthers ---YesNo Would you like to be a volunteer for TPAS? If yes, please state in what manner: TPAS Member Name (as in NRIC) (Sibling/Parent/Grandparent/Guardian) Relationship to Junior Member Contact Number of Sibling/Parent/Grandparent/Guardian Email of Sibling/Parent/Grandparent/Guardian Nationality of Sibling/Parent/Grandparent/Guardian By signing this form, you agree that TPAS may collect, use and disclose your personal data provided in accordance with the Singapore Personal Data Protection Act (PDPA) 2012. Sibling/Parent/Grandparent/Guardian’s Full Name (on behalf of Applicant) Signature Δ
