APPLICATION FOR MEMBERSHIP

22 Sin Ming Lane #06-76 Midview City Singapore 573969

Email: x: 6460 0190


Note:

1.To help us with your application, please complete the form in full and indicate 'NA' for areas that are not applicable and provide an attachment if space is insufficient.

2.Application will not be considered or will be delayed if the following are not submitted.

A recent, coloured passport-sized photograph onto the application form.

  • A photocopy of your NRIC (for Singaporean / Permanent Resident) or FIN Card (for Foreigners)
  • Relevant certificates and supporting documents as indicated in your application form.
  • A clearly written profile (Part VI of application form)

3.Please send the completed application form by post to Association of Tutors (Singapore), 22 Sin Ming Lane #06-76
Midview City, Singapore 573969.

4.The association reserves the right to withhold invitation to membership.

PERSONAL PARTICULARS
Name (as in NRIC or passport, please underline surname)
* Dr / Mr / Mrs / Mdm / Ms
Name in Chinese Characters(ifapplicable)
Preferred Name To Be Reflected On Website / Please Affix
A Recent
Passport Size Photograph
Date of Birth(DD/MM/YYYY)
/ / / Sex
*Male /Female / NRIC No. (*Pink / Blue) / Nationality
Marital Status
*Single / Married / Divorced / Widowed / Separated / Race
*Chinese / Malay / Indian /
Eurasian
Others (please specify) / FIN No. & Expiry Date
Type of Pass
*Employment / Dependent
Others (please specify) / Country of Birth
Residential Address
Postal Code ( ) / Contact Nos.
Home
Handphone
E-mail Address

* Delete as necessary

DETAILS OF QUALIFICATIONS (please attach relevant certificates / documents)

Academic Qualifications
S / No. / Highest Academic Qualifications Attained
[e.g. Bachelor of Arts, PhD (Finance), etc.] / Name of Institution / Year
From
(MM/YY) / To
(MM/YY)
1.

Relevant Professional Qualifications

S / No. / Course Attended / Qualifications Obtained / Name of Institution / Year
From
(MM/YY) / To
(MM/YY)
RELEVANT EXPERIENCE IN TEACHING (please attach relevant certificates / documents)
S / No. / Subject
(e.g. English: Primary & Secondary Level) / Name of Organisation
(School or other private organisation)
(e.g. St. Joseph’s Institution) / From
(MM/YY) / To
(MM/YY)
RELEVANT AWARD(S) RECEIVED
S / No. / Recognition(s) / Award(s) Received / Name of Event / Organiser / Year
From / To
PLEASE INDICATE YOUR CHOICE OF MEMBERSHIP
Category A: $120 per year (please indicate UEN Number if applicable )
For individuals who undertake tutoring as a full-time occupation, and are not formally employed by any other organization.
Category B: $80 per year
For individuals who undertake tutoring for a supplementary source of income. Such tutors may be, but are not limited to, students and homemakers.
Category C: $240 per year (please indicate UEN Number )
For Business Owners, Master Franchisors and Entrepreneurs who operate a single or chain of tuition centres.
Category D: $240 per year (please indicate UEN Number )
For Business Owners and Operators who provide auxiliary services supporting the Education industry.
PLEASE PROVIDE A PROFILE OF YOURSELF IN ABOUT 50 WORDS.
Important Note: Applications will not be considered or will be delayed if a proper, clearly written profile is not provided. When writing your profile, please state your
  • Professional qualification
  • Experience in teaching
  • Awards / Accreditation Attained
Sample Profile: I have a BA from the National University of Singapore and have tutored the subjects of Englishand Mathematics up to 'A' level for the past 8 years. I am also accredited with the Singapore Mathematical Society. I am a supportive tutor who delivers results by making lessons fun and informative.
Self Profile (to be typewritten)
MEDICAL & PERSONAL DECLARATION
Please answer the following questions and indicate in the appropriate box
(the information declared will not automatically disqualify applicants from being shortlisted)
1) Have you ever suffered, or are suffering from any medical history of pulmonary, nervousor mental health conditions, prolonged ill health, or impediment in speech or hearing or any physical impairment? / Yes No
2) (a) Do you have existing criminal record in Singapore or overseas? / Yes No
(b) Have you ever been charged or convicted in a court of law in any other country? / Yes No
3) Have you ever been suspended, discharged or dismissed by employer? / Yes No
4) Are you currently under police investigations in Singapore or overseas? / Yes No
5) Are you an undischarged bankrupt or do you have outstanding unsecured debts? / Yes No
If your answer is “Yes” to any of the above, please provide brief factual information and documents (where relevant)
DECLARATION
I hereby declare that all information provided is true and correct; and agree to abide and be bound by the Constitution of the Association of Tutors (Singapore), amended and updated from time to time and also all legal duties imposed upon me by law whether statutory or common law or otherwise; and authorise the association to disclose my personal information to its employees, service providers, vendor and affiliated partners and such other person(s) or agency who is reasonably deemed to have a legitimate interest in such information.I understand that if I have suppressed any material fact or given false information, the association shall have the right to terminate my membership without prejudice.
/ /
Signature of ApplicantDate

FOR OFFICIAL USE

Application Form Received Date / Application ID No.

* Delete as necessary

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