Online Membership Application Form

Personal Particulars:
*Disabilities:
Condition (Cerebral Palsy, Intellectual Disability, Autism, ADHD, Hard of Hearing, Deaf etc)
Education:
Employment:
Affiliation with other organisation(s):
*Emergency Contact Details:
$2.00 (Non-Working Member)$5.00 (Working Member)$10.00 (Associate Member Individual)Complimentary (Institutional Member)

 

 

Notes:

In order to process your application, please submit
i) a copy of your NRIC
ii) your membership fee and one of the following:

1. A copy of your membership card from any disability organisations such as Handicaps Welfare Association, Singapore Association for the Deaf, or Singapore Association for the Visually Handicapped OR

2. A copy of a doctor’s or school’s letter confirming your disability OR

3. Print out the “Proposed by” and “Seconded by” sections of this form and have it completed by existing members of DPA.

 

Personal Data Protection Act 2012:

Disabled People’s Association (DPA) undertakes to maintain your information securely and will restrict access to employees and the Board of Management. DPA collects personal data to ensure its membership and services are as inclusive as possible as well as to collect general statistics on disability in Singapore. DPA will only disclose your data to external third parties where we:

  • have your consent; or
  • are required to under a statutory or legal obligation; or
  • are permitted to do so by the Personal Data Protection Act 2012.