If you have recently changed your contact details and/or your employment details, please notify CSIS by completing the form below.
1) Personal Details
*Title:
—Please choose an option—MrMsMrsMdmDr
*Full Name:
*Membership Status
—Please choose an option—AssociateFellow
Membership Number:
*Last 4 digits of NRIC/FIN Number
*Date of Birth:
*My residential address has changed:
YesNo
Old Residential Address:
**New Residential Address:
*My contact number has changed:
*Contact Number (Mobile):
Contact Number (Residential):
*My email address has changed:
*Personal Email:
2) Employment Details
**My employment details have changed:
*Date of Commencement:
*Name of Organisation:
*Designation:
*Organisation Address:
*Main Line:
*Direct Line:
*Fax Number:
*Office Email Address:
Organisation Website:
** a) Please indicate the company type of your employment organisation by selecting one of the options below:
—Please choose an option—Listed CompanyTrust or Corporate Service ProviderPrivate Limited CompanyNot-for-ProfitGovernment/Public SectorTertiary EducationRetiredUnemployedOthers
*if "other", please state:
** b) If the answer to (a) is “Trust or Corporate Service Provider”, please answer the following questions:
** Is the organisation a Registered Filing Agent (FA)?
** Are you a registered Qualified Individual (QI)?
c) Please provide the Filing Agent number of the organisation:
* c) Please indicate your primary job activity by selecting one of the options below:
—Please choose an option—Company SecretaryGovernance Professional/ GeneralistComplianceRisk ManagementInternal Control/Internal AuditAccounting/External AuditFinanceTaxationLegalManagement/AdministrationEducation/trainingRetiredUnemployedOthers
**if "other", please state:
* d) Please indicate your secondary job activity by selecting one of the options below:
3) Preferred Mode of Contact Please indicate your preferred mode of contact by selecting one of the options for each following:
*Billing Address:
—Please choose an option—ResidentialOffice
*Mailing Address (all other correspondence):
*Email:
—Please choose an option—PersonalOfficeBoth
*Contact number:
—Please choose an option—ResidentialMobileOffice
Please indicate below if you allow CSIS to disclose your membership (i.e. Full Name as per membership register and membership grade) on the CSIS Membership Directory on the CSIS Website.
I agree to disclose my membership on the CSIS Membership DirectoryI do not agree to disclose my membership on the CSIS Membership Directory.
*I declare that the information given in this registration form is true and accurate
*I hereby agree to CSIS’ Personal Data Policy
