Amendment/Addition/Deletion of Data Notes: Please send this completed form: by email to with the subject of Data” or “Amendment/Addition/Deletion by post to The Data Protection Officer Singapore Medical Association 2 College Road Level 2, Alumni Medical Centre Singapore 169850 SMA/ MPS Account* Type of information Details Please delete appropriate The particulars and information furnished by me herein and in all documents are true and accurate. SMA is hereby irrevocably and unconditionally authorized by me to contact any person to obtain and/or verify any information required by SMA, to retain all documents submitted by me. *Your SMA account information is mutually exclusive from Medical Protection Society (MPS) UK account information. Please update each set of information individually. ______________________________ NRIC/Passport No: _______________ Signature / Date Name: ________________________ Contact Number: _______________
Amendment/Addition/Deletion of Data Notes: Please send this completed form: by email to with the subject “Amendment/Addition/Deletion of Data” or by post to The Data Protection Officer Singapore Medical Association 2 College Road Level 2, Alumni Medical Centre Singapore 169850 SMA/ MPS Account* Please delete appropriate Type of information Details The particulars and information furnished by me herein and in all documents are true and accurate. SMA is hereby irrevocably and unconditionally authorized by me to contact any person to obtain and/or verify any information required by SMA, to retain all documents submitted by me. *Your SMA account information is mutually exclusive from Medical Protection Society (MPS) UK account information. Please update each set of information individually. ______________________________ Signature / Date Name: ________________________ NRIC/Passport No: _______________ Contact Number: _______________
AnnexC-AmendData.docx