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Membership application form

organisation deatils


General Information (optional)

personal deatils

General information (optional)

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Confirmation of Application Deatils

Organisation Deatils

Organisation Name: Ben & Jerry Pte LTD
Membership Category: -Basic Corproate Membership
Legal Structure of Company: Private Limited
Ownershipe Type: Both
Postal Code: 573970
Address (Street):30 changi Business Prak
Co.Reg. No. : 123456789k
Industry:Food Beverages

Personal Deatils

Salutation: Mr
Full Name: Leonard Quek
Gender: Male
NRIC: S123456K
Telephone (DID): + 65 1234567
Date of Birth: XX-XX-XXXX
Email Address: leonard@bnj.com.sg

Payment Mode

Descirption Fee
Basic Corporate Memberhip $ 180.00
Processing Fee (4%) $7.20
Total: $187.20