Application for Membership

Declaration

By clicking on 'Submit', I hereby agree to the following:

I am not an undischarged bankrupt.
I declare that the information given above is true and correct.
I agree to be bound by the Society's By-Laws and by such amendments as may be made from time to time.
If my membership is accepted, I hereby authorise the Society to deduct from my salary as follows:

1-time Member Fee of $10.00

Payment of Membership Entrance fee of $10 cannot be processed by salary check-off. You may visit the Society to pay cash, cheque payable to the Society, or PayNow Corporate to the Society’s UEN number: S25CS0001L or SIMPLY SCAN THE QR CODE. NETS, NETS FLASHPAY and NETS QR is accepted.

For internet bank transfer:

Account No: STANDARD CHARTERED BANK 13-083-0130-5. Bank Code: 9496 Branch Code: 013 Please email or fax your banking transaction slip to expedite application.

Minimum Monthly Subscription based on Gross Monthly Salary.

Please submit a copy of your payslip and NRIC to admin@sgscoop.sg to expedite the process.

Under the provision of the Co-operative Societies Act 1979. I (NAME), (NRIC) nominate the following person to receive the amount standing to my credit in the Society.

Membership Application Forms

Personal Particulars

Name

NRIC

Sex

Date of Birth

YYYY

Marital Status

Address

Singapore Postal Code

Gross Salary

Email Address

Telephone (Home)

Mobile Number

Employer

Designation

Date Joined Government Service/Statutory Board

YYYY

Are you a member of any other co-operatives?

Yes. Please specify

Name of Co-operative

Deductions

Subscription A/C

Compulsory Savings (amount per month as subscription) *Refer to table on the left

Specific Deposit A/C

Optional Savings (amount per month as savings) Minimum of $10/- per month

Nominee

Nominee Name

Nominee NRIC

Nominee Relationship

WITNESS

Witness 1 Name

Witness 1 NRIC

Witness 2 Name

Witness 2 NRIC

PROPOSER

Name of Proposer

NRIC

Employer

I hereby agree that the personal particulars provided in this application may be used by the Society from time to time and in compliance with all applicable laws on data privacy to disclose your personal data to any SGSCC personnel, related vendors and agencies.

You are assured that when we disclose your personal data to such parties, we require them to ensure that any personal data disclosed to them are kept confidential and secure.

Yes

Bank Name

Bank Account Number