APPLICATION FORM – CONFEDERATION OF LOGISTICS AND SUPPLY CHAIN MANAGERS OF ASIA

Membership Application Form for [Individual / Corporate / Institution / Society] _____________

Photo [Allow the member to upload the photograph]

1) PERSONAL PARTICULARS

Salutation: [Mr. / Ms. / Dr. / Mrs. / Others] ____________ Full Name: _______________________

NRIC / Passport No: ________________ Mobile No___________  Tel: _____________

Company Name: _________________ (Applicable for Corporate Membership)

Email Address: ____________________

Date of Birth (dd/mm/yyyy): ______________  Nationality: ____________________

Gender [Male / Female] ____________

Home / Mailing Address: ____________________________________________________________

Post Code: ___________

 

Education Background (enter highest level of education first)

(Please fax in photocopies of certificates & transcripts to avoid delay in processing)

Name of Institution                      Certificate Awarded                                                                 Year

_______________________       ______________________________________                             _______

_______________________       ______________________________________                             _______

_______________________       ______________________________________                             _______

 

2) EMPLOYMENT HISTORY (with most recent employment first)

Job Title: _____________________________________ No years of Experience: _______

Company Name: ___________________________________________________________

Office Tel No: ____________________                 Office Fax No: ______________________

Company Address: __________________________________________________________

Office Email Id: _______________________________

 

(3) REGISTRATION – GENERAL INFORMATION

Pursuant to The Personal Data Protection Act (PDPA) 2012 Singapore (which includes data protection rules which came into effect on 2 July 2014), I agree to receiving from CLASCMA email, text messages, phone calls, or fax messages containing notices, membership status update, accounts related information, course or trainer/trainee-related satisfaction surveys, market research, statistical analysis to better understand trainee profile, improve course offering, photographs, promotions and marketing materials. Additionally, I agree personal information collected relates to the practice of course enrolment and related process including and not limited to reference checks, comprehensive understanding, verification of skills, experiences, assessment of suitability for course enrolment and others.

o In connection with the above, I have read, understand and agree to be bound by the above as amended from time to time. By submitting my data in this form, I represent and warrant that the information/details given in this application is complete, true and accurate. If accepted, I shall abide by the Constitution of CLASCMA and pay the relevant dues