Note: Login ID and Password will be generated automatically and emailed to the new Member based on the email address entered below upon approval from the SRA Administrator.

* Denotes compulsory fields

Company's Particulars
Company Name *
Correspondence Address *
Postal Code
City
Country *
Tel No. *
Fax No. *
General Email
Website
Chief Executive Officer
Title *	Dr Mr Mrs Mdm Ms Prof
Salutation *
Name *
Designation *
Direct Telephone *
Direct Fax *
Email Address
Personal Assistant/Secretary
Title	Dr Mr Mrs Mdm Ms Prof
Salutation
Name
Direct Telephone
Email Address
Chief Finance Officer
Title	Dr Mr Mrs Mdm Ms Prof
Salutation
Name
Designation
Direct Telephone
Direct Fax
Email Address
Company's Designated Representative To SRA
Title *	Dr Mr Mrs Mdm Ms Prof
Salutation *
Name *
Designation *
Direct Telephone *
Direct Fax *
Email Address
Alternate Contact Person To SRA
Title	Dr Mr Mrs Mdm Ms Prof
Salutation
Name
Designation
Direct Telephone
Direct Fax
Email Address
Human Resource/Training Manager
Title	Dr Mr Mrs Mdm Ms Prof
Salutation
Name
Designation
Direct Telephone
Direct Fax
Email Address
Other Information
Ownership	Foreign Local MNC / Joint Venture Others (please specify)
Corporate Type	Franchisee Franchiser Limited Partnership Private Limited Sole Proprietor
Main Business Activity *	Distribution / Wholesaling Manufacturing Retailing Services
Product Line/Dealt In * (please tick one only)	Advertising Bags / Luggages / Wallets Bank / Card Services Beauty / Health Books / Stationery Computer Hardware / Software / Accessories Convenience Store Department Store Electricals / Electronics Fashion Apparel (Including Baby / Children Wear) Food / Beverage Furniture / Furnishings Gifts / Souvenirs / Art Hardware Institutions IT Services / Consultancy Jewellery Management Consultant Media Music Optical Petrol Plants Property Property Agent / Consultant Research Security Shoes Spas Sports Supermarket / Hypermarket Telecommunications Toys / Games Watches Others (please specify)
Annual Sales Turnover	< S$ 500,000.00 S$ 500,000.00 – S$ 999,999.00 S$ 1M – S$ 4.999M S$ 5M – S$ 9.999M S$ 10M – S$ 19.999M S$ 20M – S$ 49.999M S$ 50M – S$ 99.999M S$ 100M – S$ 199.999M S$ 200M – S$ 299.999M > S$ 300M   Paid Up Capital  S$  Year Established
Number Of Outlets
Local *
Total Floor Area
Local Address
Overseas
Total Floor Area
Overseas Address
Number Of Employees
A&P *	Local   Overseas
Administration/Finance *	Local   Overseas
Buying/Merchandising *	Local   Overseas
General Executive/Management *	Local   Overseas
Logistics *	Local   Overseas
Sales/Marketing *	Local   Overseas
Technical *	Local   Overseas
Others (please specify) (please seperate it by commas)	Local Overseas
Form Completed By
Name*
Tel No. *