Application for Nominee of Corporate Membership
Please fill in english
Corporate Particulars
Name of Corporate
Business Registration No.
Type of Membership
Corporate Member
Clubhouse Corporate Member
We wish to nominate the following person as
First Two Nominees
Additional Nominee
Change of Nominee
Personal Details of Nominee
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
Position Held
Office 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 English
Name in Chinese
Date of Birth
Sex
Male
Female
Occupation
I.D./Passport No.
Email
Contact Phone No.
Photo
Please upload JPG photo
Add Children
Credit References
Name of Bank
Branch
Account No.
Account Type
Credit Card No.
None
American Express
Mastercard
Diners Club
Visa
JCB
Others
Credit Card No.
Membership of Other Club
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Term and condition
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;
UNDERTAKE IN THE EVENT OF THIS APPLICATION BEING ACCEPTED, TO ABIDE BY THE ARTICLES OF ASSOCIATION AND BYE-LAWS OF THE CLUB;
CERTIFY AND AGREE THAT THE BUSINESS/ORGANISATION NAMED ABOVE IS THE OWNER OF THE MEMBERSHIP; AND
UNDERTAKE TO BE LIABLE AND RESPONSIBLE FOR PAYMENT OF ALL DUES AND CHARGES INCURRED AND AMOUNTS OWING IN CONNECTION WITH THIS MEMBERSHIP AND/OR INCURRED OR OWING BY THE NOMINEE'S SPOUSE AND FAMILY MEMBERS.
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
