TRIP REGISTRATION FORM – AUTOMOBILE ASSOCIATION OF SINGAPORE

REGISTRATION FORM

Personal Particulars (Main Participant)

Salutation*

Membership ID

Full Name*

Mobile Phone*

Email*

Gender*

ID Type*

NRIC / Passport No

Date of Birth*

Nationality*

Race*

Occupation*

What is your marital status?*

Passport Number*

Passport Expiry Date*

Upload a copy of your passport/driving license

Drop files here or

Accepted file types: jpg, png, jpeg, pdf, Max. file size: 2 MB, Max. files: 1.

REGISTRATION FORM

Address (in Singapore)

Block/House No.*

Street Name*

Floor Level

Unit No.

Building Name

Postal Code*

ZIP / Postal Code

REGISTRATION FORM

Emergency Contact

Name*

Contact No.*

Relationship*

REGISTRATION FORM

Vehicle Details

What is your driving license class?*

Years of Driving Experience

Please enter a number greater than or equal to 1.

Any Overseas Driving Experience

If Yes, kindly specify which country(s)

No. of Pax

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Trip Product ID*

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Trip Name*

Hidden

Trip Timeline*

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For Pax No.*

Please enter a number greater than or equal to 1.

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How many pax are joining the trip? (inc yourself)*

Please enter a number greater than or equal to 1.