Business Hours 10:00AM~10:00PM
Address: 177 River Valley Road #B1-50 Liang Court Shopping Centre
Tel: (65) 6339 1111 / Fax: (65) 6339 1112
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Application

Please fill out the form below and click Submit.
You may pick up your card(s) from the outlet after 2~3 working days.
There will be a S$2.00 charge for each card.

Items marked with an asterisk (*) are required.

Personal Particulars for MAIN CARD

Title *
First Name*
Surname *
Name to appear on card *
Max 19 characters including spacing
Date of Birth * / / (DD/MM/YYYY)
Gender *  
Nationality *
NRIC/Passport Number *
Marital Status *  
Residential Address *

Singapore (Postal Code)
Phone Number * +65
Email *
Occupation    
   

Personal Details for First Supplementary Card

 
Title
First Name
Surname
Name to appear on card Max 19 characters including spacing
Date of Birth / / (DD/MM/YYYY)
Gender  
NRIC/Passport Number

Terms and Conditions

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