| 1 | PERSONAL DETAILS |
| *Surname |
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| *Given Name |
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| *Title |
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| *Date of Birth (dd-mm-yyyy) |
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| *Nationality |
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| *Country of Birth |
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| *Passport / NRIC No |
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| *Gender: |
Male
Female
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| Home Address: |
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| Zip/Postal Code: |
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| *Country |
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| *Home Phone/Mobile phone: |
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| Home Fax: |
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| Personal Email: |
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| *Preferred Email |
Personal
Business
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| *Preferred Correspondence Address |
Home
Business
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| Highest Educational Qualification: |
Others, please specify
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| *Are you presently a Director of a Publicly Listed Company? |
Yes
No
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| How many years of Board Experience do you have in a Publicly Listed Company? |
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| State the year in which you first become a director of a Publicly Listed Company: |
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| *Are you presently a Director of a non-listed company? |
Yes
No
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| How many years of Board Experience do you have in a non-listed Company? |
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| State the year in which you first become a director of a non-listed Company: |
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| 2 | BUSINESS DETAILS |
| Company Registration Number |
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| *Company / Organisation (In Full) |
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| *Is your company publicly listed? |
Yes
No
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| Business Address: |
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| Zip/Postal Code |
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| Country |
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| Business Phone |
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| Business Fax |
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| Business Email |
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| 3 | INDUSTRY |
*Which of the following business activities best describes your company / organisation?
Please select one of the following.
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| Accounting |
Architecture, Engineering, Building |
Banking, Finance, Investment |
| Education, Professional Development |
Export, Import, Trading |
Food, Beverage, Tobacco |
| Government |
Health Services |
Information Technology |
| Insurance |
Legal |
Libraries, Museums, Arts |
| Management Consulting |
Manufacturing |
Marketing, Media, Public Relations, Advertising |
| Printing, Publishing |
Professional Associations |
Property, Real Estate |
| Retail |
Sports and Recreation |
Telecommunications |
| Textiles, Clothing, Footwear |
Tourism, Hospitality |
Transport, Storage |
| Utilities |
Welfare, Charity, Religious |
Others Please specify:
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| 4 | POSITION |
*Which of the following best describes your position?
Please select one of the following.
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| 5 | PROFESSIONAL INTEREST |
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Please select as many subjects as applicable
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| 6 | DIRECTORSHIP |
| Please list the companies in which you are currently a director. |
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| 7 | PAST DIRECTORSHIP |
| Please list the companies in which you were formerly a director |
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| 8 | HOW DO YOU COME TO KNOW ABOUT SID? |
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*
If Others, Please specify
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| 9 | Completion of Directors Course |
*Have you completed a Company Directors Course?
Yes
No
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| 10 | Board Appointment Service (BAS)/Director Matching Service |
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The Board Appointment Service (BAS) is an exclusive service made available and complimentary to SID members only, to assist members in finding their first or additional board positions. For SID members interested to sign up for this service, please visit our home page and click under "Board Appointment" for further information and to sign up online.
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| 11 | Login Details |
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User ID and password will be required for future logging into the members' area.
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| *User ID: |
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| *Password: |
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| *Confirm Password: |
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| Payment Type: |
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*Declaration
I hereby apply for membership of the Singapore Institute of Directors and agree to be bound by its Memorandum and Articles of Association and Bye-Laws. I meet the general criteria for membership of the Singapore Institute of Directors. I confirm that the information provided above is true and correct, and that:
- I am not prohibited or disqualified under the Singapore Companies Act, Cap. 50 or any relevant law in Singapore or any other jurisdiction from being appointed or acting as a director;
- I am not an undischarged bankrupt whether in Singapore or elsewhere; and
- I am of full legal capacity.
I confirm
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