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Sentosa Islander Membership

Application Form Page 1 of 2

YES! I would like to apply for:

Islander Individual membership: Valid for one (01) person (Kindly tick one box only)
Plus New - S$88 per year Plus Renewal - S$75 per year
Basic New - S$19.50 per year Basic Renewal - S$15 per year

Islander Family membership*: Valid for up to five (05) immediate family members only (Kindly tick one box only)
Plus New - S$138 per year Plus Renewal - S$120 per year
Basic New - S$50 per year Basic Renewal - S$40 per year

Replacement:
S$10.50 per card Membership No. ____________________________

Please complete this in BLOCK LETTERS (Please underline SURNAME)

Main Card Holder’s Name (within 16 spaces)#

NRIC / Passport No.# Gender^: Male / Female Date of Birth (DD/MM/YY) #

Mailing Address

Contact Nos.# (H) (O) (HP)

Email: Please write your


Name and NRIC
Salary Range S$1000 & below S$1001 – S$3000 S$3001 – S$5000 S$5001 and above at the back of the
passport photo and
Occupation Senior Manager Non Executive Fresh Graduate
affix it here
Manager Executive Student
Supervisor Others ________________________________
Area of Interest Travel Event Shopping Movie
Beauty & Fashion Clubbing Wine & Dine Golfing
Sports Music & Entertainment Others ________________________________

Credit Card Acknowledgement (All fields are COMPLUSORY)

Please accept my payment totaling S$_______________________________

Enclosed is my cheque / money order Charge to my credit card: VISA / MasterCard Amex JCB

Credit Card No. Expiry Date

Name of Credit Card Holder

Signature of Credit Card Holder Date

I have read, understood and agreed to the terms and conditions of Please submit the completed form together with a recent passport-sized
the “Islander Basic / Plus^” membership scheme as stituated herein, photograph(s), of the main card holder and immediate family members
and hereby confirm that all information details of myself and my family & your cheque payment for the respective amount (made payable to
members furnished are true, correct and complete. “Sentosa Development Corporation”) to:
Membership Department
Sentosa Leisure Group
33 Allanbrooke Road
Sentosa
Singapore 099981
___________________________ ___________________________ OR
Signature of Applicant Date Apply in person at the Membership Counter at Sentosa Station (VivoCity,
Lobby L, Level 3) or Beach Station, open from 9am – 8pm daily.

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Sentosa Islander Membership
Application Form
Page 2 of 2

Immediate family members’ details (applicable for Family Islander membership only)*

Name (within 16 spaces)

NRIC / Passport No.


Please write your
Name and NRIC
at the back of the Date of Birth (DD/MM/YY)
passport photo and
affix it here Gender^: Male / Female

Relationship^: Spouse / Child


(to main card holder)

Name (within 16 spaces)

NRIC / Passport No.


Please write your
Name and NRIC
at the back of the Date of Birth (DD/MM/YY)
passport photo and
affix it here Gender^: Male / Female

Relationship^: Child / Grandparent


(to main card holder)

Name (within 16 spaces)

NRIC / Passport No.


Please write your
Name and NRIC
at the back of the Date of Birth (DD/MM/YY)
passport photo and
affix it here Gender^: Male / Female

Relationship^: Child / Grandparent


(to main card holder)

Name (within 16 spaces)

NRIC / Passport No.


Please write your
Name and NRIC
at the back of the Date of Birth (DD/MM/YY)
passport photo and
affix it here Gender^: Male / Female

Relationship^: Child / Grandparent


(to main card holder)

# Compulsory field.
* A Family membership is made up of immediate family members consisting of the father and/or the mother, children and grandparents forming not more than
5 persons in total. Domestic helpers can be included into the Family membership as long as the application forms not more than 5 persons in total.
^ Delete where applicable.

Terms & Conditions


- The Islander card is valid for one (01) year. - Sentosa Leisure Group will not be held responsible for stolen/lost/damaged cards.
- Any application for renewal can only be made within six (06) months prior to the expiry of the card. - The card is strictly for leisure visits only. Members are not allowed to use the card to enter Sentosa Island for any
- The card is NON-TRANSFERABLE. other purposes including that of work. Wrongful use of the card shall be subjected to immediate confiscation,
- A membership card will be issued to each family member listed in the Family application. withdrawal of privileges and penalty of up to S$300 (per card).
- The Islander card entitles member(s) 50 times of free admission to Sentosa via Sentosa Express and Sentosa - All fields in the application form are mandatory and must be fully completed with supporting documents.
Buses from Seah Im Bus Terminal. Supporting documents include NRIC/Passport or documentary proof of Immigration Pass (e.g. Employment
- The Islander Plus Card entitles only the MAIN card holder member 25 times of free drive-in admission to Sentosa. Pass) issued by the Immigration & Checkpoints Authority. Incomplete information and/or supporting documents
- All prevailing privileges and discounts are offered only upon presentation of the membership card and are not may lead to delays in the processing or rejection of the application.
applicable with any other special offers or promotions. - Documents submitted in support of your application will not be returned. Please send only clearly legible
- Sentosa Leisure Group reserves the right to amend or withdraw any part of the benefits & privileges, terms and photocopies of documents. Do NOT submit original documents. Original documents should only be produced at
conditions of the Islander membership without prior notice. In the event of dispute, the decision/s of Sentosa a later date upon request.
Leisure Group will be final. - Please allow 4-6 weeks for processing of application for mail-in application. You will receive a letter informing you
- The management of Sentosa Leisure Group reserves the rights to reject any application and to terminate a of the collection date and venue. Walk-in applications will be processed on the spot.
membership without refund if the terms and conditions of the membership are not complied with. - For Mail-in applications, payment by cheque or credit card only. For cheque payment, please make your cheque
- The card is the property of Sentosa Leisure Group and must be returned upon request. payable to “Sentosa Development Corporation”.
- Passport-sized photograph must be submitted within 14 working days of your application. - For Walk-in applications, payment by cash, NETs or credit card only.
- Loss of membership card must be reported immediately to our hotline at 1800-SENTOSA (736 8672). - Any upgrading or downgrading of membership shall be subject to prevailing fees and /or charges as may be
- An administrative fee of S$10.50 shall be levied on each replacement of the membership card. imposed by Sentosa Leisure Group.

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