Join Our Membership

Thank you for joining Wound Healing Society Singapore (WHSS)!
To complete your membership, please fill out this brief online application.
Payment can be made using a Paynow or Inter- bank transfer.

MEMBERSHIP APPLICATION FORM

* Member who do not renew by 31 Jan annually will be deemed lapse membership and have to pay admin fee on their next renewal.
* Payment to be make within 24 hours of form submission. Please indicate your full name on payment made for verification purpose.
* Please take note the committee shall reserve the right to request proof of payment for verification purposes.
Membership Level *
New Membership Application
Salutation *
First Name *
Last Name *
Phone (Work) *
Please include country code. eg.: 6512345678
Phone (Mobile) *
Please include country code, eg.: 6512345678
Email *
Date of Birth
Gender *
Professional Registration Code *
SNB/ MCR Professional Registration Number
(Please key in your Professional Registration Number if you have select SNB or MCR as your Professional Registration Code)
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Institution *
Occupation *
Highest Professional Qualification (Please indicate the Country and Year obtained) *
I confirm that all the information given by me on this from is correct and accurate. *

Membership Rates in SGD($): Annual fees are due on 1st January each year. Admin Fee of $15 (on new yearly membership signed up/ lapsed in yearly membership renewal)
Please select the type of Membership below. (Select one only) *
Yearly Membership $50 per annum
Life Membership $500 (entrance fee will be waived)
*Student Membership (medical, nursing, allied health) $15 per annum
*Please upload a softcopy of your valid student’s card below if you have select the Student Membership.
Files accepted are .pdf, .jpeg, .png.
No file uploaded.
Select Your Payment Method *
QR code / UEN S99SS0056L
Fund transfer DBS current 0980028234
Username *
Your Preferred Password *

Verification

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Join Us

Join Our Membership

MEMBERSHIP APPLICATION FORM

Verification