Application Form Special Membership

Enjoy a host of various benefits as a BYSD member, including exclusive events, networking opportunities, volunteering support, and more.

Full Name (as in NRIC)

NRIC (last 4 digits only i.e. 123A)

Date of Birth

Sex: Male /Female

Race

Religion

Marital Status

Contact Number

Languages Written

Employment Status

Education Level

Languages Spoken

Hobbies / Interest

Name of Employer

PCI Household Income

Housing Type

Address

Disability

Disability type

Please elaborate cause of disability (since birth, illness, accident)

Using any aid?

If Yes using aid, give details

General Information

Are you a member of any organisation? If yes, please state.

What type of transportation do you need?

Are you on financial assistance? If yes, please share.

Are you on Financial Aid, if yes, where?

Upload your photo (For your BYSD membership pass)

Upload your SG Enable Card/ NRIC

Declaration

I hereby confirm that all information provided in this form is true, accurate, and complete to the best of my knowledge.

I grant permission to BYSD for the to use photographs, video recordings, and other media that may be taken of me during events or activities associated with the charity for promotional, publicity, and educational purposes.