SAFTI ALUMNI ASSOCIATION

c / o S A FT I Mi l i t a r y I n s t i t u t e H e a dq u a r t er s
500 Upper Jurong Road, Blk 77, #02-04, Singapore 638364
Email: Anantha_Sayanam@defence.gov.sg

LIFE MEMBERSHIP/ REPLACEMENT (CARD/ CAR DECAL) APPLICATION

A. PERSONAL PARTICULARS (FILL IN BLOCK LETTERS)

Full Name
1 as per
NRIC

Email
2 Address
(For event
invitations)

Mobile
3 → Your mobile number will be your Membership Number.
Number

4 DOB
(dd/mm/yyyy)

B. APPLICATION – Please send your photo to Anantha_Sayanam@defence.gov.sg for the processing of your membership card.

 Life Member
(One-time application fee of CHAPTER --GKS
Select
CSCOne SAS
-- OCS Batch/Year
S$50.00)

C. REPLACEMENT

I wish to replace:
 Membership Card (Replacement fee of S$3.00. Please send your photo to Anantha_Sayanam@defence.gov.sg)
 Car Decal (Replacement fee of S$3.00.)
 Not Applicable

D. ACKNOWLEDGEMENT – Please select accordingly.

I enclose a payment of S$__________ in

 PayNow via Unique Entity Number (UEN): S93SS0159D (SAFTI ALUMNI ASSOCIATION)
 Cash
 Cheque [No. __________________,
Bank: ___________, Dated: _______________)
made payable to SAFTI ALUMNI ASSOCIATION.
*For online application, please submit a screenshot of successful PayNow transaction, together with this form to Anantha_Sayanam@defence.gov.sg

By signing below, I hereby consent to the collection, use and disclosure of my personal information as provided in this
application form, or obtained by SAFTI Alumni Association (SAA) as a result of my membership for the following purposes in
accordance with the Personal Data Protection Act 2012:
a) the processing of this membership application; and
b) the administration of the membership with SAA.
For Official Use only

Receipt No.
Signature of
Applicant Name/
Signature of
Treasurer

Date Date