Application Form for Corporate Membership
Important Instructions
Please complete the form throughout in full. All fields marked with (
*
) are compulsory fields to be filled.
All information given will be treated as private and confidential.
We required the 'Certified True Copy' of the Certificate of Incorporation/Certificate of Registration of Foreign Companies to be sent to us as supporting documentation for this application.
We will advise the membership fees payable upon receipt of this application (Please refer to the
table of membership fees
for information)
All applications will be processed only upon receipt of payment and supporting documents.
I. Company Details
(Main Applicant)
Please fill up all fields in this section
Please attach the company's Certificate of incorporation/Certificate of Registration of Foreign Companies
Attach Certified True Copy:
Name of Organisation:
*
Address:
*
Country:
*
-
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
COTE D\'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HAWAII
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE\'S REPUBLIC OF, NORTH
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE\'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, ROC
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Postal Code:
*
Company Tel No:
*
Company Fax No:
Country where company is incorporated:
*
-
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
COTE D\'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HAWAII
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE\'S REPUBLIC OF, NORTH
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE\'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, ROC
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
(If wholly foreign owned, please state country of origin)
Company Type:
*
WHOLLY FOREIGN OWNED (MNC)
WHOLLY FOREIGN OWNED (NON-MNC)
WHOLLY LOCALLY OWNED (PUBLIC)
WHOLLY LOCALLY OWNED (PRIVATE)
JOINT VENTURE(FOREIGN&LOCAL)
GOVERNMENT MINISTRY
OTHERS
PROFESSIONAL BODIES
PUBLIC LISTED
PRIVATE
STATUTORY BOARD
Type of Industry:
*
ADMINISTRATIVE & SUPPORT SERVICES
AGRICULTURE & FISHING
ARTS, ENTERTAINMENT & RECREATION
ASSOCIATIONS & PROFESSIONAL ORGANISATIONS
CONSTRUCTION, ELECTRICAL WIRING, PLUMBING
COUNSELLING & SOCIAL WORK
EDUCATION
ELECTRICITY & GAS SUPPLY
FINANCIAL & INSURANCE
HOTELS & RESTAURANTS
INFORMATION & COMMUNICATION
MANUFACTURING
MEDICAL & HEALTHCARE
MINING, QUARRYING, CRUDE PETROLEUM, NATURAL GAS
OTHER PRODUCTS AND SERVICES
PROFESSIONAL, SCIENTIFIC & TECHNICAL
PUBLIC ADMINISTRATION & DEFENSE
REAL ESTATE, RENTAL & LEASING
TRANSPORT (LAND/SEA/AIR) & STORAGE/WAREHOUSING
UNEMPLOYED
WATER SUPPLY, SEWERAGE & WASTE MANAGEMENT
WHOLESALE, RETAIL, IMPORT & EXPORT
Description of Industry:
Company Annual TurnoverS$:
*
Numbers Only (0-9)
II. Company Representatives
1.
Chief Executive Officer / Managing Director
*
Title:
-
.
BG
CAPTAIN
CAPTAIN
COLONEL
DR
LG(NS)
LTC
MAJOR
MDM
MR
MRS
MS
PROF.
Last Name:
First Name:
Name:
Designation:
Department:
Email:
Telephone:
2.
Accredited Representative
*
(To vote at SIM's Annual General Meeting and to receive membership mailing - Please complete if different from above)
Title:
-
.
BG
CAPTAIN
CAPTAIN
COLONEL
DR
LG(NS)
LTC
MAJOR
MDM
MR
MRS
MS
PROF.
Last Name:
First Name:
Name:
Designation:
Department:
Email:
Telephone:
3.
Alternate Representative
(To act on behalf in the absence of the Accredited Representative)
Title:
-
.
BG
CAPTAIN
CAPTAIN
COLONEL
DR
LG(NS)
LTC
MAJOR
MDM
MR
MRS
MS
PROF.
Last Name:
First Name:
Name:
Designation:
Department:
Email:
Telephone:
4.
Invoice Recipient
*
Title:
-
.
BG
CAPTAIN
CAPTAIN
COLONEL
DR
LG(NS)
LTC
MAJOR
MDM
MR
MRS
MS
PROF.
Last Name:
First Name:
Name:
Designation:
Department:
Email:
Telephone:
III. Subsidiaries/Associate Companies
Please
Click Here
to complete the details of your subsidiary/associate companies, if you wish to extend the corporate membership privileges to them.
IV. Staff Size
(Membership privileges will be extended to all staff in the company. Please indicate the total number of employees in your organisation.)
Total number of employees in company (main applicant)
*
Total number of employees for Subsidiary/Associate companies covered under SIM corporate membership
0
V. How did you first come to know about SIM Membership?
*
Select
Executive Programmes Directory
Interest Groups/MS Activities/Events
SIM Web Page
Press Ads
Friends/Colleagues
SIM Membership Drives
Promotional Code (if any):
VI. Why do you decide on SIM Membership? (Please tick)
*
We join SIM as a member for:
NETWORKING OPPORTUNITIES
EXCLUSIVE MEMBERSHIP IN SPECIAL INTEREST GROUPS
DISCOUNTS ON TRAINING PROGRAMMES
SIM MANAGEMENT LIBRARY RESOURCES AND SERVICES
DISCOUNTS ON MEMBERSHIP EVENTS AND ACTIVITIES
ATTRACTIVE SIGN-UP GIFTS AND PROMOTIONS
OTHERS (please specify):
VII.
Member-Get-Member Programme
(if applicable)
Name of Referrer:
SIM Membership No:
Email of Referrer:
Note: The referrer must be an existing SIM member. All details must be provided.
Terms and conditions
apply.
Name of person making application:
*
Designation:
Email:
I/We declare that the information provided is true. I/We understand that all applications for SIM Membership are subject to approval and I/We will be notified of the membership category assigned to the company. I/We hereby agree to pay the corresponding entrance and annual subscription fees when the notification is recieved.