Family Membership Registration Form – AUTOMOBILE ASSOCIATION OF SINGAPORE

"*" indicates required fields

1Family Member Details

2Residential Address

3Driving License

REGISTRATION FORM

Salutation*

Full Name as Per NRIC*

Gender

Male

Female

Applicant Relationship to Principal Member*

Spouse

Child aged below 21

Last 3-digit + checksum of NRIC/FIN no.*

(E.g. “567A” from the full NRIC number of “S1234567A”)

Date of Birth*

Email*

Mobile Phone*

REGISTRATION FORM

Postal Code*

ZIP / Postal Code

Block/House No.*

Street Name*

Building Name

Floor Level

Unit No.

Country*