Member’s Nomination

Please note:

You do not need to make a nomination if you wish to distribute your monies with The Singapore Police Co-operative Society Limited in accordance with the applicable inheritance laws.
Before you make a nomination, please read:
- Under the Provisions of the Co-operative Societies Act 1979
- Frequently Asked Questions
You may enter the details below to make a nomination and print the form after submission, or print the blank Nomination Form and fill in manually.*
The original, duly completed and signed Nomination Form must be submitted by hand or by post to the Society for registration.

* Please print the Nomination Form in “Portrait” mode and on both sides for page 1 and page 2.

"*" indicates required fields

FULL NAME OF MEMBER (As in NRIC/FIN)*

NRIC/FIN NO. OF MEMBER (Please include prefix S, T, F, M or G)*

DATE OF BIRTH OF MEMBER (dd/mm/yyyy)*

STATEMENT OF INTENT

I hereby nominate the following person(s) to whom the sums due to me by the Society shall be paid upon my death:

NOMINEES

DATE OF NOMINATION (dd/mm/yyyy)*

NUMBER OF NOMINEE(S). Please select the number to be entered (maximum 2) from the dropdown list below:

FULL NAME OF NOMINEE 1 (Must be a Natural Person)*

NRIC/FIN/PASSPORT NO. OF NOMINEE 1*

DATE OF BIRTH OF NOMINEE 1 (dd/mm/yyyy)*

NOMINEE 1 RELATIONSHIP TO MEMBER*

MAILING ADDRESS OF NOMINEE 1*

SHARE (%) OF NOMINEE 1 *. (Please enter from range 0.01% to 100.00%. The total share (%) for all other nominee(s) entered must equal to 100.00%)*

NAME FULL NAME OF NOMINEE 2 * (Must be a Natural Person)*

NRIC/FIN/PASSPORT NO. OF NOMINEE 2*

DATE OF BIRTH OF NOMINEE 2 (dd/mm/yyyy)*

NOMINEE 2 RELATIONSHIP TO MEMBER*

MAILING ADDRESS OF NOMINEE 2*

SHARE (%) OF NOMINEE 2. (Please enter from range 0.01% to 100.00%. The total share (%) for all other nominee(s) entered must equal to 100.00%)*

Shares allocated should total 100%.
Please review your entries.

Total shares have reached 100%.
You may proceed.

Total Shares counter %

The difference in %

WITNESSES

FULL NAME OF WITNESS 1 (As in NRIC/FIN)*

NRIC/FIN/PASSPORT NO. OF WITNESS 1 (Please include prefix S, T, F or G)*

DATE OF BIRTH OF WITNESS 1 (dd/mm/yyyy)*

DATE OF SIGNATURE OF WITNESS 1 (dd/mm/yyyy)*

FULL NAME OF WITNESS 2 (As in NRIC/FIN)*

NRIC/FIN/PASSPORT NO. OF WITNESS 2 (Please include prefix S, T, F or G)*

DATE OF BIRTH OF WITNESS 2 (dd/mm/yyyy)*

DATE OF SIGNATURE OF WITNESS 2 (dd/mm/yyyy)*

Click the Submit button only once
to prevent duplicate submissions.

Send us the physical form with signature.
We do not accept scan copy with digital signature.