Register – AFAS

Member Registration

First Name:* First Name Required

Last Name:* Last Name Required

MAS RNF No:* This is a required field

Designation:* This is a required field

NRIC (Last 3 digits):* This is a required field

NRIC (Last Character):* This is a required field

Date of birth:* This is a required field

Gender:* This is a required field

Male Female

Mobile:* This is a required field

Company:* This is a required field

Office Address:* This is a required field

Office Number: This is a required field

Office Postal Code:* This is a required field

No of years in Financial Industry:* This is a required field

Class of Businesses:* This is a required field

Life Insurance Investment General Insurance / Employee Benefit Fee Based Financial Planning Others

Please specify your class of businesses: This is a required field

Highest Professional Qualification:* This is a required field

CLU ChFC CFP ChFP Dip in Fin Plan Others IBF Level 1 IBF Level 2 IBF Level 3

Please specify your qualification: This is a required field

Declaration

1. Have you ever been subjected to disciplinary proceedings for professional misconduct?:* This is a required field

Yes No

Please provide details in respect of each matter on the Application Declaration Appendix (1): This is a required field

2. Have any claims for negligence or breach of professional duty been made in the last ten (10) years against you or have circumstances been notified to insurers that might give rise to a claim?:* This is a required field

Yes No

Please provide details in respect of each matter on the Application Declaration Appendix (2): This is a required field

3. Are you aware of any claims or circumstances that might give rise to a claim which is not referred to in the Question above?:* This is a required field

Yes No

Please provide details in respect of each matter on the Application Declaration Appendix (3): This is a required field

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn’t Match

PayNow

AFA(S) is committed to protecting our members and subscribers personal data in accordance with the Singapore Personal Data Protection Act (PDPA).

In line with the PDPA, by submitting this form, I hereby give my consent to AFA(S) to collect, use and disclose my personal data for the purposes of administering and processing of payments for membership and events and/or to receive further information from AFA(S) and/or for communication pertaining to my membership, event and course information.

I am aware that I may update the personal data and/or withdraw the consent provided by me at any time by contacting secretariat@afas.org.sg or to unsubscribe via AFA(S) emails.*

No val Please fix the errors above

190 Middle Road
#14-08C Fortune Centre
Singapore 188979

Telephone: +65 62240207 Email: secretariat@afas.org.sg Website: www.afas.org.sg