Application Form for Spouse Membership - Chinese Swimming Club

chineseswimmingclub.org.sg

Application Form for Spouse Membership - Chinese Swimming Club

APPLICATION FOR SPOUSE MEMBERSHIP

The application form must be duly completed, together with the relevant documents and payment attached before

the Club could process the application.

Spouse Member – New Application / Replacement

a) Photocopy of marriage certificate

b) Photocopy of spouse’s identity card

c) 2 recent passport-sized colour photographs of applicant

d) Cheque payment for entrance fee

• Subject to the date the Principal Member joined the Club

• Not applicable for replacement of spouse’s membership

Date Joined (For Principal Member)

(i) Before 1981

(ii) 1 Jan 1981 – 31 Dec 1991

(iii) 1 Jan 1992 – 29 April 2000

Entrance Fees applicable

Exempted

$2,140 (including GST)

$5,350 (including GST)

e) All married persons who become Principal Members, Nominees or Term Members on or after 28 April 2013

are required to register their spouse as Spouse Members. All single persons who become Principal Members

or Term Members on or after 28 April 2013, and are subsequently married are also required to register their

spouse as Spouse Members.

f) If the Spouse of a Principal, Nominee or Term Member is not registered with the Club in accordance with

Article 5.1(f) of the Club's Constitution, that Member will be required to register his/her spouse as a Spouse

Member and pay up to 3 times of all outstanding subscription fees due from the date the spouse should have

been registered with the Club. Failure to do either may result in disciplinary proceedings against the member.

g) With effect from 28 April 2013, as long as the Principal, Nominee or Term Membership is not terminated, that

individual shall not be permitted to de-register his/her spouse, except in the event of divorce or death.

h) For replacement of spouse’s membership, the Principal Member has to withdraw the membership of the

previous registered spouse. Relevant documents must be submitted and the previous spouse’s membership

card to be returned to the Club. (Note: A penalty charge of $10.70 will be imposed if spouse membership card is not

returned)

i) If any person is de-registered as a Spouse Member or Spouse Term Member before 28 April 2013, then an

administrative fee of $107 (including GST) is payable for a fresh application to be Spouse Member or Spouse Term

Member.

Life Member

a) For Life Member without a credit account, cheque payment of $100 being credit deposit for your spouse credit

account is required.

Child under 12 years old

a) Any child, of a Principal Member or of a Nominee, under the age of 12 years must be registered with the Club

as a child dependent and such a child may use the Club’s facilities without payment of a guest fee.

b) A copy of your child's birth certificate is required.

Child 12 years old to 21 years old

a) Any child, of a Principal Member or of a Nominee, between 12 years up to just before 21 years of age must be

registered as a Junior or Child Member failing which such child may only use the Club's facilities as a guest

and the Bye-laws on guests shall apply to such child. Such child may be registered as a Junior Member

only if he satisfies Article 5.1(g) of the Constitution.

Billing of Subscription Fee

Application received by the Club on or before the 15th day of the month will be processed and subscription fee billed

for the same month.

Application received by the Club after the 15th day of the month will be processed and subscription fee billed the

following month.

Version: September 2014

21 & 34 Amber Road Singapore 439870 Tel 6345 1221 or 6885 0688 Fax 6346 5685 www.chineseswimmingclub.org.sg


Two recent

passport-sized

colour photographs

Application Form for Spouse Membership

配 偶 会 员 入 会 申 请 表 格

此 处 附 夹 护 照 式

彩 照 两 张

1. *APPLICANT’S PARTICULARS (SPOUSE) 申 请 人 ( 配 偶 ) 的 资 料

Name (English) 姓 名 ( 英 文 ) (Chinese)( 中 文 )

Age 年 龄 Date of Birth 出 生 日 期 NRIC No. 身 份 证 号 码

Occupation 职 业

Home Address 住 址

Tel 电 话 (H)( 住 ) (HP)( 手 机 )(Email)( 电 邮 )

Signature of Applicant 申 请 人 签 名

Date 日 期

2. *CHILDREN (UNDER 12) 儿 女 ( 十 二 岁 以 下 )

Name 姓 名 Age 年 龄 Sex 性 别 Birth Date 出 生 日 期 Birth Certificate No. 报 生 纸 号 码

*Kindly attach your Marriage Certificate / Child's Birth Certificate (under 12)

3. PRINCIPAL MEMBER’S PARTICULARS 会 员 的 资 料

Name 姓 名

A/C No. 户 头 号 码

Type of Membership 会 籍 类 别 : (Life/Ordinary/Associate) 永 久 / 普 通 / 准

Date Joined 入 会 日 期

Occupation 职 业

Tel 电 话

Company’s Name & Address 办 事 处 名 称 和 地 址

Postal Code 邮 区

I hereby declare that the particulars given above are true and correct. 本 人 确 实 上 述 所 填 写 的 资 料 乃 属 实 无 误 的 。

Principal Member’s Signature 会 员 签 名

Date 日 期

For Official Use Only 本 会 专 用

Entrance Fee $ Cheque Payment: Date:

Adjustment Memo: Attended by: Verified by:

21 & 34 Amber Road Singapore 439870 Tel 6345 1221 or 6885 0688 Fax 6346 5685 www.chineseswimmingclub.org.sg


APPLICATION FOR CREDIT ACCOUNT

I. PRINCIPAL/TERM/JUNIOR TERM MEMBER’S PARTICULARS

*delete where inapplicable

Name (English):

(*Dr/Mr/Mrs/Ms/Mdm)

NRIC/Passport No.:

Date of Birth:

Chinese:

Residential Address:

Postal Code:

Type of Membership: *Ordinary/Associate/Corporate/Term/Junior Term

A/c No.:

Tel No.: (H) (O) (HP)

II.

AUTHORISATION OF SPOUSE TO SIGN BILLS INCURRED AT THE CLUB:

SPOUSE’S PARTICULARS

Name (English):

(*Dr/Mr/Mrs/Ms/Mdm)

Tel No.:

NRIC/Passport No.:

Occupation:

Date of Birth:

Chinese:

Note: Junior Member is only applicable to any child born before 30 April 2000 and whose parent is a Principal

Member before 30 April 2000 & have registered with the Club for eligibility for Junior Membership before

29 April 2001.

III. Authorisation of *child/children (12 to 21 years) who is/are registered as *Junior member(s)/

Child member(s)/Child Term member(s) of the Club to sign bills incurred at the Club.

JUNIOR/CHILD/CHILD TERM MEMBER’S PARTICULARS

No. Name of Child Birth Certificate/NRIC No.

1.

2.

3.

4.

I hereby submit my application with the specimen signature form authorising my *spouse/child/children to sign any

bill incurred at the Club to be debited to my credit account.

I hereby undertake to abide by the Constitution and Bye-Laws of the Club now in force subject to any amendments

from time to time.

Signature of Principal/Term Member

Date

FOR OFFICIAL USE

Receipt/Cheque No. : Adjustment Memo No. :

Amount : Date of Payment :

Date Joined : Approved by :

(For transferred members only)

Attended by :

Senior Manager, Membership Relations


SPECIMEN SIGNATURE FORM 签 名 样 本 表 格

21 & 34 Amber Road Singapore 439870 Tel 6345 1221 or 6885 0688 Fax 6346 5685

To process the new CSC membership card, Principal Members must submit this form with two recent passport-sized colour

photographs. For Spouse and/or Child of Principal Member applying as Spouse Member and/or + Junior/Child/Child Term

Member(s), signatures & photographs are also required. Please sign within the box(es) provided. Forms with signatures

beyond the boxes will not be processed.

为 了 办 理 新 会 员 证 , 主 会 员 都 必 须 呈 交 本 表 格 , 连 同 两 张 护 照 式 近 照 。 主 会 员 的 配 偶 及 / 或 子 女 如 需 申 请 为 配 偶 会 员 及 /

或 + 少 年 / 儿 童 / 儿 童 定 期 会 员 必 须 呈 上 签 名 样 本 及 照 片 。 务 请 签 在 适 当 的 格 子 内 , 把 名 字 签 在 格 子 外 的 表 格 , 恕 不 受 理 。

Name of Principal Member : __________________________________________

主 会 员 的 姓 名 ( 英 文 )

A/C No.:

户 号

Name of Spouse

配 偶 的 姓 名 ( 英 文 )

Specimen Signature of Principal Member

主 会 员 的 签 名 样 本

Name of + Junior/Child/Child Term* Member

+ 少 年 / 儿 童 / 儿 童 定 期 会 员 * 的 姓 名 ( 英 文 )

Specimen Signature of Spouse

配 偶 的 签 名 样 本

Name of + Junior/Child/Child Term* Member

+ 少 年 / 儿 童 / 儿 童 定 期 会 员 * 的 姓 名 ( 英 文 )

Specimen Signature of + Junior/Child/Child Term*

Member

+ 少 年 / 儿 童 / 儿 童 定 期 会 员 * 的 签 名 样 本

Name of + Junior/Child/Child Term* Member

+ 少 年 / 儿 童 / 儿 童 定 期 会 员 * 的 姓 名 ( 英 文 )

Specimen Signature of + Junior/Child/Child Term*

Member

+ 少 年 / 儿 童 / 儿 童 定 期 会 员 * 的 签 名 样 本

Name of + Junior/Child/Child Term* Member

+ 少 年 / 儿 童 / 儿 童 定 期 会 员 * 的 姓 名 ( 英 文 )

Specimen Signature of + Junior/Child/Child Term*

Member

+ 少 年 / 儿 童 / 儿 童 定 期 会 员 * 的 签 名 样 本

Specimen Signature of + Junior/Child/Child Term*

Member

+ 少 年 / 儿 童 / 儿 童 定 期 会 员 * 的 签 名 样 本

* delete where inapplicable

* 删 掉 不 适 用 者

+ for child between the age of 12 to just 21 years

+ 12 岁 以 上 至 满 21 岁 的 儿 童

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