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BUSINESS RESOURCES

SINGAPORE CHAMBER OF COMMERCE
 
ON-LINE FORM FOR YOUNG EXECUTIVE CIRCLE (YEC)
 
Please complete all the sections on this application. Thank you.
 
GENERAL MEMBERSHIP INFORMATION
All information requested in this section must be completed. Thank you.
 
Salutation :: Please choose Mr., Mrs., Ms., Mdm, Dr., Professor.
 
Name :: Please enter full name. Thank you.
 
Name :: Please enter first name only. Thank you.
 
Name :: Please enter your middle name only. If none, write none.
 
Name :: Please enter your last name only. Thank you.
 
Chinese Name :: Please enter Chinese name if applicable.
 
Username :: Please enter a valid username. No spaces, at least 3 characters and maximum 25 characters containing 0-9, a-z, A-Z.
 
Password :: Please enter a valid password. No spaces, at least 6 characters and 15 characters maximum containing lower and upper case letters, numbers and special signs.
 
Verification of Password :: Please re-enter password. No spaces, at least 6 characters and maximum 15 characters containing lower and upper case letters, numbers and special signs.
 
Email address :: Please enter only a valid email address which is either personal or business. Correspondence will be sent here. A confirmation email will be sent to this address upon registration.
 
Website Address :: Please enter website address corresponding with business if available.
 

PERSONAL AND RESIDENTIAL INFORMATION
All information in this section must be entered including your primary residence or mailing address.
 
Mailing Address Line 1 :: Please enter first line of address here.
 
Mailing Address Line 2 :: Please enter second line of address
 
Mailing Address Line 3 :: Please enter third line of address.
 
City :: Please enter city where you live.
 
State :: Please enter state in country where you live.
 
Country :: Please choose the country you reside in presently.
 
Country Other :: Please enter the country where you live if not listed on the country list.
 
Zipcode :: Please entry zipcode of city or area where you live.
 
Home Telephone Number :: Please enter home telephone number.
 
Home Fax Number :: Please enter home fax number.
 
Home Cell Phone Number :: Please enter home cell phone number if you want to be contacted at this number.
 
Nationality :: Please enter nationality, this is optional and it is not mandatory.
 
Race:: Please choose the race, this informational is optional.
 
Date of Birth :: Please enter date of birth in the following format: MM/DD/YYYY ex: 01/01/1945.
 
Passport Country :: Please choose the country where your passport is issued.
 
Nationality :: Please enter passport country of issuance if not on the country list.
 
Passport Number :: Please enter HKID/Passport Number.
 

PROFESSIONAL OR WORK INFORMATION
Please complete the information in this section, it is required.
 
Occupation or Title :: Please enter your occupation or business title.
 
Number of Years in Profession :: Enter years of experience in this profession.
 
Highest Education Level :: Please check highest education level obtained.
 
Name of Education Qualification :: Enter education qualifications including degree information.
 
Professional Qualifications :: Enter qualifications.
 
Professional Affiliation(s) :: Enter affiliations.
 
Fields of Specialization :: Please enter fields of specialization.
 

COMPANY OR BUSINESS INFORMATION
This information is optional to complete. Thank you.
 
Business or Company Name :: Please enter name of business or company, it is required unless you are unemployed. If you are unemployed please write unemployed.
 
Business or Company Chinese Name :: Please enter Chinese business or company name. If unemployed, please write unemployed.
 
Place of Incorporation :: Enter place of incorporation for company.
 
Business Address 1 :: Please enter first line of business address.
 
Business Address 2 :: Please enter second line of business address.
 
Business Address 3 :: Please enter third line of business address.
 
Business City :: Enter city where business or company is located.
 
Business State :: Enter the state in the country where business is located.
 
Country :: Please choose the country of your business location.
 
Country Other :: Enter the country where business is located if not on the country list.
 
Business Zipcode :: Please enter the zipcode of the country where the business is located.
 
Business Phone :: Enter business telephone number.
 
Business Fax :: Enter business fax number.
 
Business Moblie Phone :: Please enter business mobile phone.
 
Business Email Address :: Please enter business email address.
 
Business Website Address :: Please enter business website address.
 

PARENT COMPANY INFORMATION
This section is optional to complete.
 
Parent Company Name :: Please enter parent company name.
 
Parent Company Chinese Name :: Please enter parent company Chinese name.
 
Parent Company Address 1 :: Please enter first line of address for parent company.
 
Parent Company Address 2 :: Please second line of address of parent company.
 
Parent Company Address 3 :: Please enter third line of address for parent company.
 
Parent Company City :: Enter city of parent company.
 
Parent Company State :: Enter state of country where parent company is located.
 
Country :: Please choose the country of your parent company location.
 
Country Other :: Enter country where parent company is located if not on list.
 
Parent Company Zipcode :: Enter zipcode in country where parent company is located.
 
Parent Company Business Phone :: Enter parent company business phone.
 
Parent Company Fax :: Enter parent company fax number.
 
Parent Company Website :: Enter parent company website address.
 
Parent Company Email Address :: Enter parent company email address if available.
 

Please choose yes for only those Areas Of Interest you want to be involved with at the Chamber of Commerce. Thank you.
 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 
Other Interests :: List any other interests not in choices above.
 

Please complete below. The terms of this application for YEC Membership only must be read and you must respond yes or no for acceptance of conditions.
 
I agree that the information supplied to The Chamber in this application may be used as part of the data collation and research work that The Chamber conducts. Where such informaiton is used for such purposes, there will be no specific identification of person(s). I understand and agree that The Chamber may access my personal information provided here or elsewhere in my communication with The Chamber at its discretion to facilitate business networking so as to fulfill its role as a connector for businesses and professionals. I understand that general personal information (date of birth), nationality, addresses, and contact number excluded) may be included in offical Chamber publications and other Chamber communications. I acknowledge that I should inform The Chamber fo the portion of my personal information that should remain private when necessary. Further, I undertake to keep my personal information up-to-date with The Chamber as and when any changes are in effect
 
YEC Agree :: Please read the YEC Important Information for these terms. If you agree with choose Yes. If you do not agree, choose No.
 
Fields marked with an * asterik are required to be completed for this application, login and registration information. Thank you.