Welcome To Customs Credit Co-operative Society

35 Selegie Road #04-01, Parklane Shopping Mall, Singapore 188307 | TEL : +65 6338 4890 | FAX : +65 6338 4870 | EMAIL : cccsl@singnet.com.sg

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Apply For Nominee Form
Form >>Apply For Nominee Form

* Compulsary fields
Membership No	:	*
Member Name	:	*
Member Address	:
Nominee 1
Name of Nominee1	:	*
Address of Nominee	:
Identity Card No:		*
Age
Sex		Male Female
RelationShip		*
Email	:
Nominee 2
Name of Nominee2	:	*
Address of Nominee2	:
Identity Card No:		*
Age
Sex		Male Female
RelationShip		*
as the person/ persons to whom all sums due to me by the Society shall be paid in the event of my death in accordance with the By-laws of the Society and the Co-Operative Society Act,1979. As my nominee is a minor i do hereby appoint:
Name	:
Address of Nominee	:
Identity Card No:
Age
Sex		Male Female
Relationship to applicant	:
as my nominee's guardian to whom all sums due to me shall be paid in the event of my death in accordance with the By-laws of the Society and the Co-Operative Society Act,1979.
Dated This	:	* (DD/MM/YYYY)