ONLINE EXTERNAL MEMBERSHIP APPLICATION

(No Access to Subscribed E-Resources, RBR and selected AV media Resources)

Salutation	Mr. Ms. Mdm. Dr. *
First Name	*
Family Name
Name to be printed on your membership card	*
Last 4 characters of NRIC/Passport No	*
Nationality	*
Email (if Alumni, provide lifelong email)	*
Contact Nos	*

Residential address in Singapore	*
Postal Code	*
Occupation	*
Employer/Organisation you work with

Declaration
I agree that NUS Libraries can retain my personal information on record in accordance with the Personal Data Protection Act (Singapore) and as per NUS Libraries' PDPA Policy.

Please tick the checkbox to give consent. Otherwise, we cannot proceed with your application.

1. Are you a NUS Alumni? *
Yes	No
2. Which level of membership do you want? *
Basic (loan max. 6 items)	Enhanced (loan max. 12 items) Expiry: 1 Year 5 Year *
3. Which library will you use most often? *
CENTRAL/CHINESE	MEDICAL+SCIENCE
HSSML	MUSIC
LAW
4. Reason for using NUS Libraries? *
I am a staff/student at IHL in Singapore	I am a Senior Govt Officer(Division 1 & above)
I am a JC/IB student in Singapore	I am a Distance/External Degree student
Others. Pls specify:
5. Payment Mode *
Online using AMEX/MasterCard/VISA

6. Is your spouse a Faculty-based teaching staff at NUS? *
No	Yes. Please provide his/her staff card no *
7. Are you a former member of NUS Libraries? *
No	Yes. Please provide the card no *
8. Do you still have your membership card? *
No	Yes, don't charge me for new card

	I declare that the information I supplied in this membership application is true and correct
	I will abide by the Library Rules and Regulations if my application is approved.