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MIoD - MEMBERSHIP SURVEY
The MIOD values your views on our services and how we can better serve you as a member. Please take a few minutes to complete the survey and to return it to us.
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Registration for MIoD Members
PERSONAL DETAILS
Title:
Dr
Lady
Lord
Miss
Mr
Mrs
Ms
Professor
Sir
Surname:
Firstname(s):
Known as:
Date of Birth:
Nationality:
ID Number or Passport Number :
Gender:
Male
Female
Residence Tel:
Residence Fax:
Residence Email:
ACCADEMIC & PROFESSIONAL DETAILS
Qualifications including business related:
Name of Company:
Job Title:
Number of Years of experience:
Company Director
Executive or Partner
Other organisations of which I am Director/Partner of:
BUSINESS DETAILS
Organisation Name:
Type of Organization:
Societé
Pte Co
Public Co
Government
Parastatal
SOE
NGO
Other
Company TurnOver
Postal Address:
Email:
Tel:
Fax :
Mobile:
Main Business Activity:
Please select
Agriculture & Fishing
Energy and Mining
Manufacturing
Public Utilities
Building & construction
Wholesale & Retail Trade
Entertainment,Media & Recreational
Hospitality & Tourism
Transportation
Banks
Financial Services
Real Estates
Business & Professional Sevices
Public Administration & Defence
Education
Health Care & Social Work
Information & Communication
Other
Number of Employees:
1-10
10-25
25-50
50-100
100-200
200-500
500-1000
1000-5000
5000-10000
above 10000
Will your susbcription be paid by your organisation:
Yes
No
If Yes, please quote the business Registration Number:
Preferred correspondence address:
SECURITY DETAILS
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