APPLICATION FORM Application for Exemption of Annual Subscription Exemption of CPD Submission Application for year 2023 2024 Full Name Membership No NRIC No Email Correspondence Address Membership Category Fellow Member Corporate Member Members must comply with the following criteria before submission of application. Exemption Criteria Fellow or Corporate Member for not less than 20 years Have reached the age of 60 years on the of the application submitted Have ceased to received a remuneration from town planning services Evidence to be submitted for Membership Committee's evaluation Photocopy of NRIC (for all category) Pension Card or Retirement Letter from Employer Notification of Cessation of Employment Medical Ceritifcate or Doctor's Certification of Health Declaration I hereby certify that the above information/ documents are true and complied with MIP conditions for the exemption of annual subscription fee and CPD submission in accordance to MIP Constitutition, Clause 13.7 & 19.2. Date of submission Send