MEMBERSHIP APPLICATION/RENEWAL FORM – AFFILIATE MEMBER

Notes:

This application/renewal form is to be used for Affiliate Members. Under Rule 4(4) of the SRA Rules, Affiliate Members are “insurance, reinsurance and related industry associations and other organisations that share common goals and interests with the Association and wish to enter into a collaborative relationship with the Association”.
In submitting this form, you are deemed to have read the Privacy Policy and have given consent for us to share and post some of the information provided in the form below, such as: company contact details, website URL, geographical scope of operations, representative’s name in the public or members’ areas of the SRA website at www.sg-reinsurers.org.sg.
Please complete the mandatory fields with * for administrative purpose.

COMPANY NAME TO BE DISPLAYED ON SRA's WEBSITE

COUNTRY

COMPANY REGISTRATION NO. (For Singapore registered companies)

DATE OF INCORPORATION

OFFICE ADDRESS

WEBSITE URL (e.g. www.sitename.com)

MAILING ADDRESS

TYPE OF ORGANISATION

1. Industry Association

2. Professional Members’ Institute

3. Education/Training Institution

4. Others (Please specify)

AUTHORISED REPRESENTATIVES

SRA Website Administrator

Name

Designation

Nationality

Chief Representative

Alternative

Alternate

I confirm that all the information provided above is true and accurate, and consent to the use of the above information in the public and members’ areas of the SRA website.

I have read and understood the SRA's Privacy Policy with regard to the Collection, User, Disclosure and Safeguard of the personal infomation that I have provided above."

SRA's Privacy Policy