Join Us – OEHS

Please click here to read the terms and conditions of joining the society before membership registration

OCCUPATIONAL AND ENVIRONMENTAL HEALTH SOCIETY
Membership Application Form

Name

Date of Birth

Occupation

NRIC No (last 4 digits)

Nationality

Sex

Male Female

Name of Organisation Employed in

Mailing Address

Address Line 1

Address Line 2

Address Line 3

Postal Code

Present Position

Home Tel

Office Tel

Fax

Mobile No

Type of Membership:

Ordinary ($50) Associate ($30) Corporate ($200)

PAYMENT

Please make payment via:-
Bank Transfer
Details are:
Bank: DBS Bank Singapore
Account No: 032-008556-3

Please send in your payment only when your application is approved.
Your application status will be informed via Email.

Period

School, Institution Attended

Certificate Obtained

Period

Type of Qualification

Remarks

Period

Organisation / Society / Association

Position held

Working Experience (max 2000)