Family Membership

Fees: SGD 120.00
All fields are required.

* Full Name:

* Residential Address:

* Contact Number:

* Date of Birth:

* Gender:

* Malaysia ID Type:

* Malaysia ID No.:

* Singapore ID Type:

Singapore ID No.:

* Name of Company / Institution:

* Designation:

Referred by:

Create Account

Please create a login to manage your membership.

* Email Address:

* Password (> 6 characters long)

* Password Confirm

Subscribe to MASIS Newsletter?

Family Members

You can add up to four family members.
Children under the Family Membership must be below twenty-one (21) years of age.

* Full Name of Family Member #1

* Relationship to Applicant:

Email Address:

* Date of Birth:

* Malaysia / Singapore ID No.:

Contact Number:

Full Name of Family Member #2

Relationship to Applicant:

Email Address:

Date of Birth:

Malaysia / Singapore ID No.:

Contact Number:

Full Name of Family Member #3

Relationship to Applicant:

Email Address:

Date of Birth:

Malaysia / Singapore ID No.:

Contact Number:

Full Name of Family Member #4

Relationship to Applicant:

Email Address:

Date of Birth:

Malaysia / Singapore ID No.:

Contact Number:

Payment Method

* Preferred payment method:

Acknowledgements

Terms of Membership:

I, the above named Applicant, consent to the collection and use of my personal data to MASIS, and that I have also obtained the consent from all the other applicants named above (if any), for the purposes of registration, processing and administering of membership-related benefits and services.
I may opt out of sharing my information or limit the optional information by duly informing MASIS in writing.
I warrant that all the information provided herein is true and accurate to the best of my information and knowledge.
I hereby undertake to abide by all the rules and regulations of MASIS and to be responsible for ensuring that my family members abide by the same.

I consent to the terms above. (Please check box)