Bengali Association Singapore

NEW MEMBERSHIP FORM

Kindly fill up the form with all the relevant details and either pay using Paypal or transfer the membership amount to our bank and include the membership fee transfer details in the Payment Info section (for bank details please refer to Payment Options info). Our finance department will get back to you in 3-4 days.

Title*

Name*

First

Last

Date of Birth*

Nationality*

Passport/IC#*

Address*

Contact Number*

Email*

Occupation*

Company

Membership Type*

Family(Husband & Wife less than 65 yrs+Children less than 21 yrs : SGD 150.00 for each year)

Single Member(Individuals more than 21 yrs & less than 65 yrs : SGD 75.00 for each year)

Senior Citizens(Individuals more than 65 yrs : SGD 25.00 for each year)

Senior Citizen Family(Husband & Wife more than yrs : SGD 50.00 for each year)

Spouse Name*

First

Last

Child 1 Details

First

Last

Child 2 Details

First

Last

Child 3 Details

First

Last

Payment Method*

Online Transfer

Pay now with PayPal

Payment Amount*

Membership Amount

Pujo Overhead Amount

Total Payable in SGD

Payment Details*

If you have any problems in filling up the form, contact us at newmember@bas.sg

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