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Crystal Jade will use the personal data you provided via this application form for the purpose of facilitating membership benefits and entitlements. Any personal data you provide to us will be entered into Crystal Jade’s database and will be used for future promotional and marketing purposes.
Fields marked with an * are required.
Personal Particulars
Title*
First Name*
Last Name/Surname*
Gender*
Nationality
NRIC / Passport / FIN No*
Re-enter NRIC / Passport / FIN No*
Date of Birth* (DD/MM/YYYY)
Marital Status
Contact Details (Singapore address only)
Level / Unit*
Postal Code*
Home Tel
Mobile Tel*
Email*
Member Portal Login Information
NRIC (This will be your login ID)
Password (Min 6 characters)
Confirm Password
I agree to receive information, promotional offers and updates from Crystal Jade via:
*The management reserves the right to reject any application which we deemed incomplete.
If you encounter any difficulty signing up for our membership, please email to jadeite@crystaljade.com
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翡翠餐饮 - 华北
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