Application for Individual Membership
Please fill in english
Application for Individual Membership
Membership Type
Full Member
Clubhouse Member
Personal Details
Name in Full
Name in Chinese
Appellation
Mr
Mrs
Miss
Nationality
I.D./Passport No.
Date of Birth
Marital Status
Single
Married
Sex
Male
Female
Name of Firm
Position Held
Office Tel No.
Business Address
Residential Address
Mailing Address
Office
Residential
Other
Other Mailing Address
Home Tel No.
Mobile Phone No.
Email
Photo
Please upload JPG photo
Spouse Details
Name in Full
Name in Chinese
Date of Birth
Sex
Male
Female
Occupation
I.D./Passport No.
Email
Contact Tel. No.
Photo
Please upload JPG photo
Add Children
Credit References
Name of Bank
Branch
Account No.
Account Type
Credit Card Type
None
American Express
Mastercard
Diners Club
Visa
JCB
Others
Credit Card No.
Membership of Other Club
Proposers' Details
Proposer's Name
Proposer must be a Macau Jockey Club Full Member while Seconder may be a Macau Jockey Club Member of any category.
Proposer's Member No.
Seconder's Name
Seconder's Member No.
Captcha
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Term and condition
I CONFIRM THAT ALL INFORMATION GIVEN IN THIS APPLICATION IS TRUE AND CORRECT AND UNDERTAKE TO FORTHWITH UPDATE YOU IN WRITING OF ANY CHANGES WHICH WOULD RENDER THE INFORMATION TO BE NO LONGER CORRECT. IN THE EVENT OF MY APPLICATION BEING ACCEPTED, I AGREE TO ABIDE BY THE ARTICLES OF ASSOCIATION AND BYE-LAWS OF THE CLUB.
Agree and submit
Children Details
Name in English
Name in Chinese
Sex
Male
Female
I.D./Passport No.
Date of Birth
Photo
Please upload JPG photo
