Membership Verification Form

Please fill in your full name and membership number and indicate your membership status. (Membership number can be found in the letter sent to member)

Full Name 姓名

Membership Number 会员编号

Email 电址

Membership 会员席位

Comment or Message 评论或留言

Personal Data Collection Consent 同意个人数据收集

By submitting this form, it is deemed that you have given your consent that Chan Si Wui Kun Singapore may collect, obtain, store and process information provided by you in the form, including any personal data for the purpose of validating membership with Chan Si Wui Kun. 透过提交此表格，即视为您已同意新加坡四邑陈氏会馆可能会收集、获取、存储和处理您在表格中提供的信息，包括任何个人数据，以验证您在陈氏会馆的会员资格。