Gym MembershipApplication form

Name: / Gender*:Male / Female / HID Card No:
Address (Singapore):
Phone: / E-mail Address:
Commencement Date: / Type*: New Application/ Renewal

PAYMENTS$

Deposit:
Add: 1st month (pro-rate where applicable): from to
Add: Subsequent monthly / half-yearly / yearly from to
Add: 7% GST Charges
Total

Disclaimer and Signature

  1. The Nanyang Technological University, its staffs and agents, shall not be liable or be held responsible for any mishap, personal injury, disability, death, damage or loss of property or any other loss /damage arising from or in connection with the use of the gym equipment.
  2. Gym members are required to bring along the membership card whenever they visit and/or use the gym at all times.
  3. Gym members should maintain a certain level of fitness to use the gym, and to visit a registered medical doctor if feeling unwell.
  4. Membership is not transferrable and members are not to bring guests into the gym. Minimum period of membership is one (1) month.
  5. Lockers are provided in the lavatories. Members are requested to bring along their own padlocks to secure the items stowed inside these lockers, and to remove these at the end of the use for the benefit of other gym members.
  6. NEC collects a deposit for the Gym HID card, which is refundable only within 2 months upon expiry of membership subscription. Monthly subscription fees are not refundable under any circumstances.

Signature / Date

* please delete where applicable

Gym MembershipApplication form

Name: / Gender*:Male / Female / HID Card No:
Address (Singapore):
Phone: / E-mail Address:
Commencement Date: / Type*: New Application/ Renewal

PAYMENTS$

Deposit:
Add: 1st month (pro-rate where applicable): from to
Add: Subsequent monthly / half-yearly / yearly from to
Add: 7% GST Charges
Total

Disclaimer and Signature

  1. The Nanyang Technological University, its staffs and agents, shall not be liable or be held responsible for any mishap, personal injury, disability, death, damage or loss of property or any other loss /damage arising from or in connection with the use of the gym equipment.
  2. Gym members are required to bring along the membership card whenever they visit and/or use the gym at all times.
  3. Gym members should maintain a certain level of fitness to use the gym, and to visit a registered medical doctor if feeling unwell.
  4. Membership is not transferrable and members are not to bring guests into the gym. Minimum period of membership is one (1) month.
  5. Lockers are provided in the lavatories. Members are requested to bring along their own padlocks to secure the items stowed inside these lockers, and to remove these at the end of the use for the benefit of other gym members.
  6. NEC collects a deposit for the Gym HID card, which is refundable only within 2 months upon expiry of membership subscription. Monthly subscription fees are not refundable under any circumstances.

Signature / Date

* please delete where applicable