Singapore Computer Society

30th July 2010 Friday

Grasp the opportunity to gain the professional edge now! Join the IT professionals that make up the broad spectrum of SCS' quality membership base. Membership in the Singapore Computer Society and its subsidiary professional groups is your avenue to advancement.

PERSONAL DATA :
Name :
Gender :	Male Female
Marital Status :
NRIC :
Nationality :
Race :
Date of Birth :
Home Address :
Current course of study : (For student members only, state year of study)
Year of Graduation :
Hobbies :
Mailing Address (Please tick one) :	Office Home


PRESENT OCCUPATION :
Title/Position :
Company Name :
Industry :	[Refer to code table]
Company's Address :
Email :
Office Telephone :
Home Telephone :
Pager :
Fax :
Handphone No. :

EDUCATION :
A :	Qualification received	Major	Date
B :	Qualification received	Major	Date
Institution :
Professional IT Certification :	[Please state] (If any, eg. CITPM, CISSP, CBCP)


MEMBERSHIP WITH OTHER PROFESSIONAL BODIES :
Name :	Membership Grade :	Membership No. :

PROFESSIONAL PRACTICE :
Years of professional practice in IT :
Profession Code : [Refer to code table]
Description of job role & responsibilities :
PRESENT & PAST EMPLOYMENT (Please indicate Year, Job title, & Job description in chronological order)

Sponsor's Name :

PAYMENT & INTERBANK GIRO FORM (Required with application):
1-year subscription @ S$107 3-year subscription @ S$299.60 (after $21.40 discount) Note: A one-time Entrance Fee of S$85.60 applies. Fees quoted are inclusive of 7% GST. Download Interbank GIRO form HERE and send the ORIGINAL copy via post to: Singapore Computer Society 53 Neil Road Singapore 088891
By Cheque (Please make crossed cheque payable to Singapore Computer Society)
Bank :
Cheque No. :
Amount:	S$
By Visa or MasterCard
Charge my :	Visa Master Card
Card No. :
Expiry Date:	[Month/Year]
Amount:

Your Participation in SCS Chapters and SIGs

Please tick your preference. (You may choose more than one Chapter or Special Interest Group)
Business Continuity Group (For members who are BC/DR professionals)
Certified IT Project Managers' Chapter (For members who are certified CITPM and COMIT only)
Interactive Digital Media Chapter
Quality Assurance Chapter (For members who are QA professionals in the IT Industry)
Wireless Chapter
Young Professionals’ Chapter (For members who are 40 years old & below)
SIG Web 2.0
SIG Enterprise Cloud Computing and Virtualisation
SIG Supply Chain Management

How do you get to know about us? (Please tick)
Referral Direct Mail My Employer/Organisation SCS Newsletter/ SCS Website SCS Roadshow/Event Please indicate the roadshow/event you have attended Others Others, please specify

DECLARATION :
Were you a member of SCS? Yes No
If Yes, please furnish (if known)
Grade	Year expired	Membership No.

If no, please state the member who recommended SCS membership to you.
Recommended by :	Introducer's name	Membership No.
I declare that the information given in this application is true. If my application is approved, I am prepared to be bound by the constitution of the Society.

Note: Please make crossed cheques payable to the Singapore Computer Society.