Membership Application

TYPES OF MEMBERSHIP (please tick appropriate box)

ORDINARYASSOCIATE

For Ordinary Member
Open to permanent employees of:

Ministries, Statutory Boards, Organs of State or any other institutions or entities as listed in the Singapore Government Directory; Ministries, Statutory Boards, Organs of State or any other institutions or entities as listed in the Singapore Government Directory;
Singapore Power Ltd and its subsidiaries; and
The Society.

For Associate Member
Members who are immediate family members of Ordinary members. Contribute to SSBEC T&L Society Ltd through their own GIRO or through Ordinary member's salary or GIRO

PERSONAL PARTICULARS (Name as in NRIC)

Type of NRIC *:

NRIC No *:

Gender *:

Date of Birth *:

Race *:

Marital Status *:

Residential Address *:

Postal Code *:

CONTACT DETAILS

Tel (O)

(H)

Mobile *

Email Address *:

APPLICABLE TO ASSOCIATE MEMBERS ONLY

Please tick one of the appropriate box only

Related to Ordinary member:

Name:

NRIC:

Member No:

Relationship:

Note: Proof of relationship must be submitted together with your application form (Birth Certificate, Marriage Certificate, Adoption Documents)

EMPLOYMENT DETAILS

Employer Name *:

Designation:

Date of Employment:

Length of Employment:

Salary $

Note: Proof of employment (e.g. Payslip, Letter of Employment) must be submitted together with your application form.

DEDUCTION DETAILS

Subscription Capital * $(min $10) per month

Savings Account * $(min $10) per month

Total * $per month

Please enclose a copy of your NRIC with this application form.

MODE OF DEDUCTION

Mode of Contribution *:

DECLARATION BY APPLICANT

I (Name) *

NRIC No *

Declare that the information provided in this documents is true and correct
Declare that I am not a bankrupt and have not been convicted of an offence punishable with imprisonment
Agree that as member of SSBEC T&L Society Ltd, I am bound by the Co-operative's By-Laws
Authorise SSBEC T&L Society Ltd to deduct the amount specified in the "Deduction Details"
Understand that deductions can be altered or cancelled and it may take up to 2 months to process
Rejected salary deduction or GIRO payments may affect my future loan applications
Authorise SSBEC T&L Society Ltd to act upon my written/or verbal instruction

DECLARATION OF NOMINEES (compulsory)

In the events of my death,

I (Name)

NRIC No

Nominate the person(s) named to receive all monies that may be due to me from The Singapore Statutory Boards Employee's Co-operative Thrift and Loan Society Limited according to the proposition set down against his/her/their name. The proportion of the total receivable by the nominee to be expressed as a percentage.

NOMINEES

Name:

NRIC No:

D.O.B:

Address:

Relationship:

Percentage:

Tel (O)

(H)

(HP)

Email Address:

If nominees are below 21 years (minor), Guardian must be nominated.

Membership Referred by:

Name:

NRIC No:

Upload Documents:

NRIC *:

Employment Pass:

Payslip *:

IRAS Tax Notice:

Proof Of Relationship:

Document Name:

Upload File:

Annexes to Fill:

PDPA Consent:Click here to fill

Tax Residency Form:Click here to fill

Membership Application