Representative Membership Application  
Full Name: RNF No.:
Gender: Mobile No.:
Address: Home No.:
Office No.:
Fax No.:
Singapore Email:
Name of company: Designation
Address: Singapore
Tel No: Fax No:
Email: Website:

Classes of Business:

No. of Years in Financial Industry:
Concentration of Business: Local    Expatriate
Highest Academic Qualification:
Highest Professional Qualification CLU    ChFC    CFP    ChFP    Dip in Fin Plan   

AFA(S) is committed to protecting our members and subscribers personal data in accordance with the Singapore Personal Data Protection Act (PDPA).
In line with the PDPA, by submitting this form, I hereby give my consent to AFA(S) to collect, use and disclose my personal data for the purposes of administering and processing of payments for membership and events and/or to receive further information from AFA(S) and/or for communication pertaining to my membership, event and course information.
I am aware that I may update the personal data and/or withdraw the consent provided by me at any time by contacting or to unsubscribe via AFA(S) emails.

I hereby declare that the above declaration is true.
I consent and authorize AFA(S) to verify and call for any documentary evidence in support of my application.
I understand that the entrance fee and annual subscription paid are non-refundable.

Entrance Fee
Annual Subscription

Cheque No.

: $50.00 (One Time Payment)
: February - $50.00 May- $37.50 August - $25.00 November- $12.50

(please submit a Giro form for renewal)

Make cheque payable to: Association of Financial Advisers (Singapore).

Please submit the application to:
AFA(S) Secretariat
1003 Bukit Merah Central, #04-23 INNO Centre
Singapore 159836