Nationality*: Singaporean Non-Singaporean - Select - SINGAPORE CITIZEN SINGAPORE PR AMERICAN AMERICAN SAMOA AUSTRIAN AUSTRALIAN BANGLADESHI BRUNEIAN BURMA CAMBODIAN CANADIAN CHINESE GERMAN HONG KONG INDONESIAN INDIAN JAPANESE KOREAN, NORTH KOREAN, SOUTH LAOTIAN SRI LANKAN MAURITIAN MALAYSIAN DUTCH NEW ZEALANDER FILIPINO PAKISTANI THAI TAIWANESE BRITISH SUBJECT VIETNAMESE OTHERS
Identification Type*: - Select - NRIC PASSPORT FIN
Passport/NRIC No./FIN*: (Example for NRIC: S1234567A) Retrieving Particulars Data. Please Wait.
Full Name*: - Select - MR MS MRS MDM DR PROF MISS
Race*: Please state race as indicated in your NRIC - Select - CHINESE MALAY INDIAN OTHERS
Date of Birth*: (dd-mm-yyyy)
Marital Status *: - Select - SINGLE MARRIED OTHERS
Gender*: - Select - FEMALE MALE
Home No.*:
Office No.:
Mobile No.:
Pager No.:
Email:
Blk/House No.*:
Street Name*:
Building Name
Floor & Unit No.: # -
Postal/Zip Code*:
Economic Status*: - Select - WORKING NOT WORKING
Highest Education Level*: - Select - NO FORMAL EDUCATION / LOWER PRIMARY PSLE LOWER SECONDARY POLY DIP/ADV. DIP OTHER DIP/PROF. QUALIFICATION UNIVERSITY GCE 'N'/'O' LEVEL / NTC 3 GCE 'A' LEVEL / NTC 1/2/ITC
Annual Income*: - Select - $0 - $30,000 $30,001 - $60,000 $60,001 - $90,000 $90,001 AND ABOVE
Occupation*: - Select - LEGISLATOR, SR OFFICIAL, MANAGER PROFESSIONAL TECHNICAL & ASSOC PROFESSIONAL CLERICAL WORKER SERVICE, SHOP/MKT SALES WORKER AGRICULTURAL & FISHERY WORKER PRODUCTION CRAFTMAN & RELATED PLANT & MACHINE OPERATOR CLEANER, LABOURER & RELATED NOT CLASSIFIABLE/INADEQ. DESC HOMEMAKER RETIREE STUDENT UNEMPLOYED
Are you a member of other clubs? If yes, please specify up to 5:
Housing Type*: - Select - HDB 1-ROOM HDB 2-ROOM HDB 3-ROOM HDB 4-ROOM HDB 5-ROOM HDB - STUDIO APT. FOR SENIOR CITIZEN HDB - SHOPHOUSE HDB - EXECUTIVE / MANSIONETTE HDB - HUDC/ EXECUTIVE CONDONIUM CONDOMINIUM/ PRIVATE APARTMENT TERRACE/ SEMI-DETACHED/ BUNGALOW
Areas of Interest - You can select more than one, and you can choose to volunteer for PA events/activities^
Areas of Interest:
Contact Media - Please ensure correct mobile phone/email is provided
In the event where PA wishes to notify you regarding new events, activities, courses and services, you would prefer to be contacted via: SMS Email Phone Call Postal Mail
Your Preferred Community Club *:
Please do not select 'National Community Leadership Institute' and 'PA Holiday Facilities(HQFM)' as preferred BU for application of passion card. List
Your Preferred Language Stream
- Select - ENGLISH MANDARIN MALAY TAMIL
Send you reminders for your registered courses/activities and facilities bookings?
- Select - Yes No
Username
Username:
Password - Password must contains at least 8 characters
Password:
Confirm Password
Confirm Password:
* I hereby declare that all the entries in this membership application form are true and correct; and agree to abide and be bound by the Terms and Conditions of the Community Club Management Committees, other People's Association Organisations and the PAssion ez-link Card Programme. I authorise the People's Association, its officers, employees, servants and agents to disclose my personal information to its employees, service providers, vendors, grassroots organizations, affiliated organizations and other third parties as they in their absolute discretion deem necessary in connection with the PAssion ez-Link Card Programme. I further authorize People's Association and/or People's Association Affiliated Organizations to send me communications relating to services, products, announcements, promotions, contests or newsletters from People's Association; its service providers, vendors, grassroots organizations, affiliated organizations; and/or other third parties via electronic mail, mobile phone text messages and/or mailers. I will not hold the Community Clubs or the People's Association liable for any loss or damage as a result of my participation in their activities and services on account of any negligence, misconduct or any cause of action howsoever arising.