Form

Please state membership type you are applying for. For more details please refer to website

Membership Type*

Personal Particulars

Salutation (Mr/Ms/Mdm/Dr/Others*)*

Name in Chinese/Kanji*

Upload Passport Sized Photo*

Full Name*

Email*

Mailing Address Line 1*

Mailing Address Line 2

Mailing Postal Code*

Mailing Address Country*

Gender*

Date of Birth*

Year/Month/Day

Marital status*

Mobile phone number*

Residence Phone Number

Nationality*

SG Citizenship*

NRIC/FIN/Passport*

Education Background

You must fill in at least one.

Institution 1*

Name of Institution (English)

Name of Institution (Japanese/Kanji)

If not found in dropdown list, please fill in below:

Others - Name of Institution (English)

Others - Name of Institution (Japanese)

Major*

Level (Degree/Diploma)*

Year Attained*

Insitution 2

Name of Institution (English)

Name of Institution (Japanese/Kanji)

If not found in dropdown list, please fill in below:

Others - Name of Institution (English)

Others - Name of Institution (Japanese/Kanji)

Major

Level (Degree/Diploma)

Year Attained

Institution 3

Name of Institution (English)

Name of Institution (Japanese/Kanji)

Major

Level (Degree/Diploma)

Year Attained

Institution 4

Name of Institution (English)

Name of Institution (Japanese/Kanji)

Major

Level (Degree/Diploma)

Year Attained

Please zip and upload education certificates below:

Certificate Upload

Work/Business/Occupation

Employer/Business*

Work Designation

Work email

Work Telephone

Work Address

Business Website

Interest/Hobbies/Favourite Games

(If Golfer, state current handicap and home club)*

Payment Method

Select One*

DECLARATION

I hearby agree to abide by the JUGAS Constitution. My personal particulars and other relevant information to the best of my knowledge are given above.*

Last name