"cooperative formA Revision2"
FORM A This form may take you 10 minutes to fill in. Registry of Co-operative Societies You will need the following information to fill in the form: Community Relations and Engagement Division Personal particulars of Board of Directors (name, NRIC no., nationality, address, occupation, Ministry of Community Development, Youth and Sports etcs) 510 Thomson Road, SLF Building, #14-03, Name of co-operative’s external auditor Singapore 298135 Number of members Website: http://www.mcys.gov.sg/regcoop Date of Annual General Meeting LIST OF OFFICE BEARERS REGN. NO (Name of Co-operative Society) NRIC No *P Name of Officers/Trustees D.O.B Nationality Occupation Employee of Position in *E or Term of Office Residential Address Office Tel. No or co-op? Y/N If the A B yes, please Committee indicate which co-operative. Fr To * P=PINK B=BLUE *E=Elected at AGM *A=Appointed (Please indicate appointed by whom - Founder Member/Trustee/Institutional Member, etc.) Date of AGM Person to contact about this form Name of External Auditor No of members As at 31.12.20__ Name & Tel : Date of submission : July 2006 PLEASE READ CAREFULLY THE NOTES PRINTED OVERLEAF BEFORE FILLING IN THE FORM NOTE 1 "OFFICER" includes a chairman, vice-chairman, director, secretary, assistant secretary, treasurer, assistant treasurer, member of Committee of Management / Board of Directors / Board of Trustees, employee, internal auditor or other person empowered under the Co-operative Societies Act., the Co-operative Societies Rules or by-laws, to give directives in regard to the business of a society or to supervise such business. 2 POSITION IN THE COMMITTEE - Indicate here the title of the position held in the Committee of Management, Board of Directors and Board of Trustees etc. e.g. Chairman, Secretary, Director, Internal Auditor etc. 3 NAME OF OFFICER - Indicate here the full name of the officer as in the NRIC. 4 All columns must be filled up. 5 Notice of change of the officers or in any of their particulars shall be given in writing within fourteen days of such change. 6 The names, occupations and addresses of all officers of every society and any changes thereof shall be notified to the Registrar who shall keep and maintain a register of officers of co-operative societies. 7 No person shall be eligible for membership of the committee of management of a society or remain a member of the committee if — (a) he is under 21 years of age, except in the case of a school co-operative society; (b) he is not a citizen of Singapore except with the approval of the Registrar; (c) he is an undischarged bankrupt; (d) he has been convicted of an offence involving dishonesty or moral turpitude and has been sentenced to imprisonment; (e) he has been convicted of an offence under this Act; (f) he has been dismissed as an employee of a society; or (g) he has been found to have previously misused or mismanaged the funds of a society. 8 This form must be submitted to the Registry of Co-operative Societies annually and should reach the Registry within fourteen days from the date of the society's annual general meeting. 07839f87-adae-4ab0-858e-c05d5019699d.xls