APPLICATION FOR ABSENT STATUS - ONE°15 Marina Club

APPLICATION FOR ABSENT STATUS
(To be submitted at least 1 month prior to intended date of departure)
Name: ______________________________________ Membership No.: _________________________
Absent Status Start Date: _______________________ Absent Period (Estimate): ___________________
Absent Status Mailing Address (Please select the following option/s)
Maintain Current Address(s)
New Overseas Address for Billing Newsletter Both
New Overseas Address: _________________________________________________________________
_______________________________________________________________________________________
Other Address for Billing Newsletter Both
Other Address: _________________________________________________________________________
_______________________________________________________________________________________
Contact Details
Overseas Contact Number: __________________________ (HP) ________________________ (O)
__________________________ (H)
Email Address: _________________________________________________________________________
Absent Status Payment Options (Please select the following option)
As I am already residing overseas, I would like to apply for Absent Status starting from
________________ (dd/mm/yy) to _____________ (dd/mm/yy) with all outstanding and absent fees
settled via payment details provided below.
I wish to continue signing chits until the last day before the commencement of my Absent Status
date. I authorise the Club to charge all outstanding balances via payment details provided below.
Payment Method (Mandatory section)
By Credit Card
Type of Card: MasterCard Visa Amex Card Expiry: ________________________
Name on Card: ______________________________________ Card No: ___________________________
By Cheque
Bank: _______________________________________________ Cheque No.: ________________________
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Terms and conditions:
1. Only Members or Nominees who intend to reside for more than six months overseas are eligible for
Absent Status.
2. Member is required to submit evidence of departure and reasons for residence outside Singapore.
3. Minimum one-month notification period prior to date of intended departure is required.
4. Temporary visits are limited to a maximum of 30 days in aggregate in any calendar year (unless
otherwise stated in respective Reciprocal Club’s Information Sheet.
5. Minimum 7 days notification period prior to date of return is required for Temporary Visit Members.
6. The decision of ONE°15 Marina Club (the “Club”) to place a Member or Nominee on the Absent
Members List shall be in the sole discretion of the Club, whose decision shall be final and conclusive.
7. It shall be the responsibility of any Member to ensure that the application for Absent Status is received
by the Club and that the Member receives a written acknowledgement of receipt issued by the Club.
8. A service charge of S$50 (subject to prevailing GST) may be levied if insufficient notice is received.
9. An Absent Member shall pay 30% of the prevailing subscription fee applicable to his/her category of
membership for the applied period (the “Absent Member Fee”). Payment of Absent Member Fee shall
be made in advance of the Absent Member’s departure from Singapore.
10. An Absent Member who has reactivated his/her membership to Active is not eligible for Absent Status
for 6 months from date of reactivation.
11. Please submit your form either by dropping it off at the Members Concierge, fax to +65 6376 0888
or email to concierge@one15marina.com.
Acknowledgement
I, the undersigned acknowledge that I have read and understood the terms and conditions
stated on this application.
_________________________
Signature of Member
_________________________
Date
For Official Use
Received date: __________________________ Received by: ____________________________
Approved date: _________________________ Approved by: ___________________________
Processed date: _________________________ Processed by: ___________________________
Amount Billed: _____________ for _____________ (dd/mm/yy) to ____________ (dd/mm/yy)
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