Form Membership (New Application) | Singapore Insurance Institute

New SII Membership Application

Please fill in the following form to submit your application. (* compulsory fields)

* Type of membership applied [Please select one only]
Honorary FellowFellowAssociateAffiliateOrdinaryStudent

Personal Information

* Name (as in ID):
* Home Address:
* Mobile Number:
* Date of Birth:
* Personal Email:

Existing Employment Information

* Company Name:
* Designation:
* Department:
* Office Address:
* Office Direct Line:
* Email Address:

Other Information

Years Engaged in Insurance:
* CII Membership:	YesNo
If yes, please indicate membership no.:
* ANZIIF Membership:	YesNo
If yes, please indicate membership no.:

Qualification Details

Highest Academic Qualification:	DiplomaDegreeOthers; please specify below

Professional Qualification:	CGIACIIANZIFOthers; please specify below

* Payment Method

PayNow	We would encourage you to make payment via PayNow, please select to pay via UEN No.: 197400030E
Transfer Amount:
Date of Transfer (DDMMYYYY):
Reference No.:

Bank Transfer Payment	DBS Current Account – 001-001-7764
Transfer Amount:
Date of Transfer (DDMMYYYY):
Reference No.:

Cheque Payment	Made payable to 'Singapore Insurance Institute'. Please mail the cheque to: 6 Raffles Quay, #14-02 Singapore 048580
Cheque Amount:
Cheque Number:
Bank:

Free	Honorary Fellows and existing members of the Chartered Insurance Institute (CII) are eligible for SII membership free of charge.
Please indicate your CII Membership No.:

Membership Categories and Annual Fees 2020

Membership Category	1 Jan to 31 Dec	2-Year Membership 1 Jan to 31 Dec
Honorary Fellow	-	-
Fellow	S$100	S$180
Associate / Affiliate	S$75	S$135
Ordinary	S$50	S$90
Student	S$20	S$36

I declare all information given is true and correct. I agree to abide by the Constitution of the Institute. I have read and agree with the Personal Data Protection Policy of Singapore Insurance Institute (SII).