New Application
PLEASE NOTE
  1. In accordance to paragraph 7(1) in the Constitution, the proposal of candidates for membership for Ordinary Member, Associate Member, Absentee Member and Overseas Member:

    “Application shall be made on the appropriate form by a person who must be proposed by a member of the Society. A member, elected by majority vote of the Council, shall be provided a copy of the Constitution of the Society and shall be eligible to participate in the Society’s activities upon the payment of the initial annual subscription. The Council may refuse membership if the Council considers that the practices or conduct of the applicant may be prejudicial to the interests of the Society or the reputation of the medical profession as a whole.”

  2. Annual subscription for Ordinary Member, Associate Member and Overseas Member is S$50.00 .
To register, please fill in the form below, alternatively, you may download this form here and fax it to the secretariat Ms Michelle Choy at: (65) 6372 1793
 
First Name *
Family Name *
Gender * Male Female
NRIC / Passport No: *
Home Address
Office Address *
Date of Birth *
Telephone No. *
Mobile No. *
Facsimilie No.
Email Address *
MCR No. * (if applicable)
Professional Qualifications *
Position *
Proposer *
Seconder *
 
Application and subscription fee - S$50.00
Payment
Payment Method *
 
 
Credit Card
Credit Card *
Card No. *
Name on Card *
Expiry Date * /
Security Code (CVV) *

CityState conference & exhibition Pte Ltd, is authorized to act on behalf of SCCPS.
All credit card charges will be made by the merchant name: Citystate Travel Pte Ltd.
By Cheque/ Bankdraft
Make payable to "SCCPS"