MEMBERSHIP / MEMBERSHIP UPGRADING APPLICATION FORM
 

 For Membership Upgrades, applicant must currently be a PRIS member. New members who believe they qualify for, and are interested in, professional membership may submit their Ordinary membership application together with the application for upgrading.

Instructions : Please complete the following upon studying the schematic route for membership and return the form
(also available in pdf format) with duplicate copies of substantiating certificates to:

The Membership Secretary
Plastics and Rubber Institute
Tanglin Post Office Box 354
Singapore 912412

Name of Applicant:____________________________________________________________

Address (Home): _____________________________________________________________

Telephone: (Home)_________________________  (Handphone) ______________________

Name & Address of Office: _____________________________________________________

___________________________________________________________________________

Office Telephone/Fax: ________________________________________________________

Email Address:_______________________________________________________________

Job Title / Responsibilities: ____________________________________________________

Date of Birth: _______________________________________________________________

Course / Institution: ___________________________ Year Graduated: _______________

Other Qualifications: __________________________________________________________

Employment History:

(Please provide details of Job Title/Company/Years of Service)

____________________________________________________________________________

For upgrading, please indicate:  Current PRIS membership grade: ______________________

                                                   Grade applying for: ____________________________

Date of Application: __________________________  Signature: _______________________