Kindly provide as much information as possible to avoid delaying the processing of your application

• Step 1
• Step 2
• Step 3

Type of Membership:* Choose Membership Ordinary Membership Associate Membership

 

Name of ITMA member
who has agreed to
support your application:*

 

Personal Details

 

Salutation:* Choose Salutation Mr. Ms. Mrs. Dr.

 

First Name:*

 

Last Name:*

 

Date of Birth*: DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929

 

NRIC/Passport Number:*
 (e.g. S1234567A)

 

Nationality:* Choose Nationality Afghan Albanian Algerian American Andorran Angolan Antiguans Argentinean Armenian Australian Austrian Azerbaijani Bahamian Bahraini Bangladeshi Barbadian Barbudans Batswana Belarusian Belgian Belizean Beninese Bhutanese Bolivian Bosnian Brazilian British Bruneian Bulgarian Burkinabe Burmese Burundian Cambodian Cameroonian Canadian Cape Verdean Central African Chadian Chilean Chinese Colombian Comoran Congolese Costa Rican Croatian Cuban Cypriot Czech Danish Djibouti Dominican Dutch East Timorese Ecuadorean Egyptian Emirian Equatorial Guinean Eritrean Estonian Ethiopian Fijian Filipino Finnish French Gabonese Gambian Georgian German Ghanaian Greek Grenadian Guatemalan Guinea-Bissauan Guinean Guyanese Haitian Herzegovinian Honduran Hungarian I-Kiribati Icelander Indian Indonesian Iranian Iraqi Irish Israeli Italian Ivorian Jamaican Japanese Jordanian Kazakhstani Kenyan Kittian and Nevisian Kuwaiti Kyrgyz Laotian Latvian Lebanese Liberian Libyan Liechtensteiner Lithuanian Luxembourger Macedonian Malagasy Malawian Malaysian Maldivan Malian Maltese Marshallese Mauritanian Mauritian Mexican Micronesian Moldovan Monacan Mongolian Moroccan Mosotho Motswana Mozambican Namibian Nauruan Nepalese New Zealander Nicaraguan Nigerian Nigerien North Korean Northern Irish Norwegian Omani Pakistani Palauan Panamanian Papua New Guinean Paraguayan Peruvian Polish Portuguese Qatari Romanian Russian Rwandan Saint Lucian Salvadoran Samoan San Marinese Sao Tomean Saudi Scottish Senegalese Serbian Seychellois Sierra Leonean Singaporean Slovakian Slovenian Solomon Islander Somali South African South Korean Spanish Sri Lankan Sudanese Surinamer Swazi Swedish Swiss Syrian Taiwanese Tajik Tanzanian Thai Togolese Tongan Trinidadian or Tobagonian Tunisian Turkish Tuvaluan Ugandan Ukrainian Uruguayan Uzbekistani Venezuelan Vietnamese Welsh Yemenite Zambian Zimbabwean

 

Address:*

 

Contact Number:*

 

Email Address:*

 

Upload Photo:*
(jpg/gif/png/max.2mb)

 

Tertiary / Professional Qualifications

 

Qualification 1

 

Year of Graduation*: YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950

 

University/Professional Body:*

 

Qualification:* (e.g.M.Sc. of Computing)

 

Qualification 2

 

Year of Graduation*: YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950

 

University/Professional Body*:

 

Qualification*: (e.g.M.Sc. of Computing)

 

Qualification 3

 

Year of Graduation*: YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950

 

University/Professional Body*:

 

Qualification*: (e.g.M.Sc. of Computing)

 

Qualification 4

 

Year of Graduation*: YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950

 

University/Professional Body*:

 

Qualification*: (e.g.M.Sc. of Computing)

 

Qualification 5

 

Year of Graduation*: YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950

 

University/Professional Body*:

 

Qualification*: (e.g.M.Sc. of Computing)

 

IT Career History(last 15 Years)

 

IT Career 1

 

Date (From):* MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998

 

Date (To):* MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998

 

Position Held:*

 

Organization:*

 

Industry:*

 

IT Career 2

 

Date (From):* MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998

 

Date (To):* MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998

 

Position Held*:

 

Organization*:

 

Industry*:

 

IT Career 3

 

Date (From):* MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998

 

Date (To):* MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998

 

Position Held*:

 

Organization*:

 

Industry*:

 

IT Career 4

 

Date (From):* MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998

 

Date (To):* MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998

 

Position Held*:

 

Organization*:

 

Industry*:

 

IT Career 5

 

Date (From):* MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998

 

Date (To):* MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998

 

Position Held*:

 

Organization*:

 

Industry*:

 

   

Current Employment Details

 

Company Name:*

 

Company Address:*

 

Company Website:*

 

Job Title:*

 

Tel No.:*

 

Status

 

Status: Pending Waiting for Payment Approved

 

Security Check   

 

Once your membership application has been approved by the Executive Council, you will be requested to mail your payment by cheque which must reach us within 14 days.

For your convenience, you may choose to pay by Internet Fund Transfer which allows you to transfer money safely from your Bank account to ITMA’s DBS Bank account 001-033829-3 through Internet Banking.