Application for Corporate Membership - ONE°15 Marina Club

CORPORATE MEMBERSHIP APPLICATION FORM – PART AAPARTICULARSName of Company / BusinessIndustryCompany Registration No. Incorporation Date Place of RegistrationRegistered AddressPostal CodeMailing AddressPostal CodeContact PersonContact NumberEmailFacsimileBTYPE OF CORPORATE MEMBERSHIP Standard (1 nominee) Silver (2 nominees) Gold (3 nominees)CPAYMENTMEMBERSHIP ENTRANCE FEE S$_____________________________________ Cheque (Bank ___________________________________________________Cheque No. ___________________________________________________) Others __________________________________________________________DAPPLICANT’S DECLARATIONI, the undersigned Nominee undertake at all times to comply with and be bound by the Rules and Regulations and Bye Laws of the Club (copies of which are available forinspection upon request) as may be prescribed and amended from time to time by the Club and/ or SUTL Marina Development Pte Ltd (the “Proprietor”). In addition to theRules and Regulations and Bye Laws of the Club, I acknowledge and agree specifically, without limitation to the following: I am fully aware and agree the Club is a proprietor club and that membership in the Club does not confer upon me any rights, titles or interest in any property or assetsowned by the Club or available for use by the Club or its members. I will be personally liable for all application membership dues and charges incurred by me, my family and my guests in the use of the Club or its facilities. I understand this nomination is subject to acceptance by the Club who reserves the sole right to decline any application without assigning any reason; therefore, if thisnomination is unsuccessful, the Corporate Member shall nominate a substitute Nominee. I warrant that all the information provided in this Nominee Form is true and correct and that I am not a bankrupt and that no legal proceedings have been presented againstme and I have not been convicted of a criminal offence. In the event the warranty given in this paragraph is breached, I accept responsibility for any loss or damage that maybe suffered either by me or the Club. In the event that we default in any payments to the Club, be it in entrance fee, monthly subscriptions or any other monies owing to the Club, the Club shall have the rights tosuspend my membership privileges and thereafter to terminate my membership. If payment is not forthcoming, and all amount paid by us shall be forfeited to theProprietor absolutely as agreed liquidated damages and the Proprietor reserves the right to seek legal redress for all outstanding debts owing to the Club including legalcosts incurred, after membership termination. By applying for the ONE°15 Marina Club membership, I authorize ONE°15 Marina Club to check on my credit, business ownership and litigation history.Signature/ DateCompany Chop/ StampName*Delete where appropriate11/2011

EFOR OFFICIAL USE ONLYDate of application receivedSales Staff NameSales Staff SignatureRemarksDesignationSignature/ DateBackground ScreeningDirector of MembershipRecommend for MembershipGeneral ManagerApprovalChairmanBy (Staff Name) Department Signature/ DateApplication ProcessedMembership Profile CreatedMembership No.Application Received by FinanceMembership Kit Issued*Delete where appropriate11/2011

CORPORATE MEMBERSHIP APPLICATION FORM – PART BACORPORATE MEMBERSHIP PARTICULARSName of Corporate MemberCorporate Membership No.BPERSONAL PARTICULARSName as in NRIC/ Passport Dr Mr Mrs Ms Mdm Others ______(IN BLOCK LETTERS)Family Name Given Name Name to appear on Membership CardPassport-sizePhotograph of ApplicantNRIC/ Passport No. Date of Birth (DD/MM/YYYY) NationalityRace Marital Status Gender Single Married Others ______ Male FemaleAnnual Income < S$60,000 S$60,000 – S$99,999 S$100,000 – S$199,999 S$200,000 – S$299,999 > S$300,000Home AddressPostal CodeHome Telephone Mobile Telephone Home FacsimileCompany NameDesignationIndustryOffice AddressPostal CodeOffice TelephoneOffice FacsimileMailing Address Home Office Others(To State)Billing Address Home Office Others(To State)Primary Email AddressSecondary Email AddressSecretary/ Personal Assistant Name Email Address TelephoneIn case of emergency, please contact (PLEASE INCLUDE NAME OF CONTACT & RELATIONSHIP)Telephone*Delete where appropriate11/2011

CSPOUSE PARTICULARSSPOUSEName as in NRIC/ Passport Dr Mr Mrs Ms Mdm Others ______(IN BLOCK LETTERS)Family Name Given Name Name to appear on Membership CardPassport-sizePhotograph of SpouseNRIC/ Passport No. Date of Birth (DD/MM/YYYY) NationalityMobile Telephone Race Gender Male FemaleCompany NameDesignationIndustryOffice AddressPostal CodeOffice TelephoneOffice FacsimileMailing Address Home Office Others(To State)Billing Address Home Office Others(To State)Primary Email AddressSecondary Email AddressDJUNIOR DEPENDANTS PARTICULARSSupplementary Cards can be issued to Junior Dependants of age not less than 12 years and not more than 23 years to visit the club and use the facilities under your membershipand subject to terms & conditions stated in the Application Form for supplementary Card (Junior Dependants). All applications are subject to management approval.JUNIOR DEPENDANTS (Name as in NRIC/ Passport)Family NameGiven NameRelationship NRIC/ Passport No. Date of Birth (DD/MM/YYYY)*Son/ Daughter*Son/ Daughter*Son/ Daughter*Son/ Daughter*Delete where appropriate11/2011

ESUBSCRIPTION PAYMENTPayment By Nominee Corporate Member (Please indicate mailing address below)Attention To Address Postal CodeFCORPORATE MEMBERS’ NOMINATIONWe, the undersigned Corporate Member hereby nominate the undersigned person to be our nominee to enjoy the facilities of ONE°15 Marina Club.Signature for and on behalf of the Corporate MemberSignature & DateCompany StampNameGNOMINEES’ DECLARATIONI, the undersigned Nominee undertake at all times to comply with and be bound by the Rules and Regulations and Bye Laws of the Club (copies of which are available forinspection upon request) as may be prescribed and amended from time to time by the Club and/ or SUTL Marina Development Pte Ltd (the “Proprietor”). In addition to theRules and Regulations and Bye Laws of the Club, I acknowledge and agree specifically, without limitation to the following: I am fully aware and agree the Club is a proprietary club and that membership in the Club does not confer upon me any rights, title or interest in any property or assets ownedby the Club or available for use by the Club or its members. I will be personally liable for all application membership dues and charges incurred by me, my family and my guests in the use of the Club or its facilities. I understand this nomination is subject to acceptance by the Club who reserves the sole right to decline any application without assigning any reason; therefore, if thisnomination is unsuccessful, the Corporate Member shall nominate a substitute Nominee. I warrant that all the information provided in this Nominee Form is true and correct and that I am not a bankrupt and that no legal proceedings have been presented againstme and I have not been convicted of a criminal offence. In the event the warranty given in this paragraph is breached, I accept responsibility for any loss or damage that maybe suffered either by me or the Club. In the event that we default in any payments to the Club, be it entrance fee, monthly subscriptions or any other monies owing to the Club, the Club shall have the rights tosuspend my membership privileges and thereafter to terminate my membership. If payment is not forthcoming, and all amount paid by us shall be forfeited to the Proprietorabsolutely as agreed liquidated damages and the Proprietor reserves the right to seek legal redress for all outstanding debts owing to the Club including legal costs incurred,after membership termination. By applying for the ONE°15 Marina Club membership, I authorize ONE°15 Marina Club to check on my credit, business ownership and litigation history.Signature of Applicant Signature of Spouse DateNote: Terms used herein unless the context otherwise requires bear the same meaning on those in the rules and regulations of the Club. For full details please refer to those Rules and Regulations.*Delete where appropriate11/2011

HFOR OFFICIAL USE ONLYDate of application receivedSales Staff NameSales Staff SignatureRemarksDesignationSignature/ DateBackground ScreeningDirector of MembershipRecommend for MembershipGeneral ManagerApprovalChairmanBy (Staff Name) Department Signature/ DateApplication ProcessedMembership Profile CreatedMembership No.Application Received by FinanceMembership Kit Issued*Delete where appropriate11/2011