I hereby make an application for membership in the Heart Rhythm Association Singapore and declare that the information stated in this application is true and correct and I have not with held/distort any facts.
In submitting this application, I hereby agree to abide by the regulations of the Heart Rhythm Association Singapore.
I confirm and consent to Heart Rhythm Association Singapore collecting, using, and/or disclosing my personal data which I have provided.
I agree to the membership fees collection after the complimentary years.