Application Form | Obesity & Metabolic

Membership Application Form

First Name

Last Name

Handphone

Professional Qualifications

Clinical and/or research specialty and subspecialty:

Current Employer

MCR #

I am applying for this membership category :

Regular Membership (S$200 p.a.) Please provide a proposer and seconder to support your application

Associate Membership (S$20 p.a.) without IFSO Membership

Associate membership (S$30 p.a) with IFSO Membership

Name of Proposer

Name of Seconder

Email address of Proposer

Email address of seconder

Please make payment via Paynow to (UEN : T11SS0035L) and send a screenshot of your payment receipt to omsss@omsss.sg.

By completing this membership application, you consent to being contacted by the organisers via email or mobile phone messaging for updates regarding your membership, as well as information about relevant events organised or supported by the Association.