AFA - Association of Financial Advisers Singapore

Representative Membership Application

Full Name:

RNF No.:

NRIC No:

DOB:

Gender:

Mobile No.:

Address:

Home No.:

Office No.:

Fax No.:

Singapore

Email:

Name of company:

Designation

Address:

Singapore

Tel No:

Fax No:

Email:

Website:

Classes of Business:	Life Insurance Investment General Insurance / Employee Benefit Fee Based Financial Planning Others
No. of Years in Financial Industry:
Concentration of Business:	Local Expatriate
Highest Academic Qualification:
Highest Professional Qualification	CLU ChFC CFP ChFP Dip in Fin Plan Others

I hereby declare that the above declaration is true.
I consent and authorize AFA(S) to verify and call for any documentary evidence in support of my application.
I understand that the entrance fee and annual subscription paid are non-refundable.

Entrance Fee
Annual Subscription

Bank:
Cheque No.

: $50.00 (One Time Payment)
: $50.00 (Annual Payment)

(please submit a Giro form for renewal)

Make cheque payable to: Association of Financial Advisers (Singapore).

Please submit the application to:
Secretariat, Association of Financial Advisers (Singapore)
1003 Bukit Merah Central #04-23 INNO Centre
Singapore 159836