FORMS Membership Form - Application for Absent Membership Status Contact Information*denotes mandatory fieldsMember's Name*Email Address* Membership No.*Phone Number*Please provide your overseas contact number if applicable.Update Mailing AddressAbsent Status Mailing Address* Maintain current address(es) New overseas address Other addressNew overseas address for:* Billing Newsletter BothOther address for:* Billing Newsletter BothNew overseas address:*Other address:*Payment Options*Please Select:* As I am already residing overseas, I would like to apply for Absent Status for a specified period of time with all outstanding and absent fees settled via payment details provided below. I wish to continue signing chits until the last day before the commencement of my Absent Status date. I authorise the Club to charge all outstanding balances via payment details provided below.Hong Bao Fund Preference:* I would like to contribute for the standard contribution of $50/ $(other amount) to the Hong Bao Fund for ONE°15 Staff. Please debit my account accordingly. I wish to opt out to the Hong Bao Fund for ONE°15 Staff.Kindly note that the Hong Bao Fund will be deducted via payment details provided below.Start Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY Payment Method*Credit CardBank TransferAccount Number*Make an electronic fund transfer using our UEN number below and please provide us the account number used for verification purposes.UEN number: 200413497HType of Card*MasterCardVisaAmexName on Card*Card No.*Expiry*Reasons for residence outside Singapore*Hong Bao Fund Contribution*Kindly note that the Hong Bao Fund will be deducted via the payment details provided above. Enter the amount you would like to contribute.Evidence of departure*Max. file size: 64 MB.Choose any one of the supporting documents listed: a. Overseas Utility Bill (must be current year) b. Overseas Tenancy Agreement (must be current year) c. Letter of Secondment by Employer d. Appointment Letter *Kindly note that all supporting documents presented must be addressed or referenced to the Main Member.Things to Note30% of prevailing subscription fee applicable to the category of membership for the applied absent period to be paid upfront. o Application submitted less than 30 days from commencement of Absent period will be subject to an administrative fee of $50 o Absent status of member will be automatically reactivated to Active after applied period if the Club do not receive any written instruction from memberUsage of Club o A Member who is on Absent Status may not use The Club from date of commencement of Absent Status. o A Member on Absent Status temporarily visiting Singapore may use The Club facilities with 7 days advance notice is required limited to a maximum of ninety (90) days in aggregate in any calendar year. o A temporary visit fee will be charge at $3.00/ day with a minimum of 3 days of each visit o All expenses incurred during your temporary visiting period must be paid for by credit card, or cash.Reactivation of Membership o Any absent Member upon returning to reside in Singapore must reactive his/her membership within ninety (90) days of his/her return. o Reactivation of membership is processed at the Membership Office during normal working hours, Monday to Friday. o Upon the reactivation of the membership, the Member’s signing privileges will be restored and the Member will resume paying monthly dues. o Any balance of the unused portion of the pre-paid Absent Status fee will be refunded.Terms & Conditions*1. Only Members or Nominees who intend to reside for more than six months overseas are eligible for Absent Status.2. Member is required to submit evidence of departure* (choose any one of the supporting documents listed below) and reasons for residence outside Singapore. a. Overseas Utility Bill (must be current year) b. Overseas Tenancy Agreement (must be current year) c. Letter of Secondment by Employer d. Appointment Letter 3. Minimum one-month notification period prior to date of intended departure is required.4. For renewal of absent status, proof of continuous residence outside of Singapore must be submitted with completed Application Form.5. The decision of ONE°15 Marina Sentosa Cove, Singapore (the “Club”) to place a Member or Nominee on the Absent status shall be in the sole discretion of the Club, whose decision shall be final and conclusive.6. It shall be the responsibility of any Member to ensure that the application for Absent Status is received by the Club and that the Member receives a written acknowledgement of receipt issued by the Club. I acknowledge that I have read and understood the terms and conditions stated on this applicationNameThis field is for validation purposes and should be left unchanged.