Member Application Form

We'd Love You to Join us as a Member

Name
*Required
*Minimum 3 Characters
Email Address
*Required
*Invalid Email Format
Select Ethnicity Race
*Required
Contact Number
*Required
*Invalid Number Format (min. 8 Digits)
Date of Birth
*Required
Select Your Identity
*Required
Select Membership Types
*Required
In compliance with the Personal Data Protection Act 2012 (PDPA), I hereby give consent to MNDa to collect my personal information and the data collected may be used and disclosed for the purposes of processing the donation, issuing tax deductible receipt and maintaining their relationship with MNDa’s member (e.g. sending me updates on MNDa ’s programmes, services and activities). I declare that the information given in this form is true and correct.
*Please accept the terms to proceed.