Vision: The Promotion of Human Well-Being in Singapore
Mission: To Advance the Research and Practice of Psychology in Singapore

Personal Particulars
Your SPS Membership Number
Title
Full Name (as in NRIC/Passport)
Email Address
Mobile Number
Preferred Name on SRP certificate
Permanent Resident Number [If none, indicate n/a]
Date Granted [If none, indicate n/a]
Employment Pass Number [If none, indicate n/a]
Effective Period [If none, indicate n/a]
Languages Spoken (Please select all that apply)
English
Mandarin
Malay
Tamil
Others (Please specify)
Educational Qualifications
Main Area of Specialization based on Postgraduate Qualification
Supervised Practicum Training (Breakdown of Hours)

Please download the SRP Practicum Computation Form and Complete it
Download the SRP Practicum Computation Form

Educational Qualifications
Professional Association Membership(s)
Professional Licensure/Registration
Referees

(Two SRP Members are required)

Download the SRP Character Referee Form

1 - Name
1 - SRP Membership No.
1 - Phone Number
1 - Email
2 - Name
2 - SRP Membership No.
2 - Phone Number
2 - Email
Document Submission

Please upload all supporting documents here. Do ensure that they are certified true copies. You may be asked to provide hardcopy documents where necessary.

Please ensure that you have uploaded the following:

SRP
1. Documentation of Educational History (e.g., Certified True certificates & transcripts)







2. Documentation of licence / registration / professional certificate (e.g., license to practise as a professional psychologist in Australia, Canada, New Zealand, UK or USA Or certificate from professional psychological society)







3. SRP Practicum Computation Form



4. Documentation of ALL practicum hours (e.g., signed practicum log or official letter from training institution, specifying hours completed)







5. Two Character Referee Forms for SRP Membership




Privacy of Information
I acknowledge having my SRP Membership information published in the Membership Directory
Yes
Declaration

The SPS treats the information provided with strictest confidentiality and would reject or de-register any person in the event of any violations of the Code of Professional Ethics (including the submission of any false information).

Have you previously been or are you currently under investigation by any disciplinary or legal tribunal?
Yes
No
Have charges of unprofessional conduct ever been brought against you?
Yes
No
Have you been convicted in the past of an offence involving a criminal charge or is there any charge pending?
Yes
No
I hereby declare that all information/documents submitted by me in this application is true and accurate.
Yes
No
I understand that any misleading statement, or omission may be cause for rejection of this application
Yes
No
I hereby declare that pending acceptance and if accepted, I agree to be bound by the prevailing Constitution of the Singapore Psychological Society and the Society Code of Ethics.
Yes
No
IMPORTANT NOTES
(1) If you respond Yes to any of the above questions, please submit an explanation and/or details of the outcome. Mark it Private and Confidential and attention this to the SRP Membership Committee.  Please email your letter to the secretariat (secretariat@singaporepsychologicalsociety.org). In considering your application, SRP Membership Committee or Members of the Council of SPS may request further information. A Yes answer does not automatically mean a rejection of the application. Each application will be considered on its merits.

(2) For SRP membership application process, all applicants need to be nominated by 2 current SRP members of the society, who must sign and provide his/her SRP membership number on the nominators’ section above. Only applicants for international membership are exempted from completing this section of the form.

(3) For SRP membership application process, SRP will require transcripts to be emailed directly from the home institution or certified true. For all applications, certified true copies of academic records will be accepted. Copies of supporting documents (Based on the information you provided for your academic qualifications, Professional Memberships & Employment) have to be certified true copies. Certified true copies mean photocopies stamped and signed as a true copy by the awarding university, Advocate & Solicitor, a Notary Public, a Justice of Peace or embassy ONLY.

(4) The certifying officer must not be a family member or spouse. Please submit certified true copies of marriage/partnership certificate, deed poll etc., if your name is now different from that on the certificates. Please note that we will not accept copies of documents certified by staff of current/past employer(s).

(5) To complete the SRP application, kindly arrange for the payment of your processing fee by Internet Banking, or PayNow and write to secretariat@singaporepsychologicalsociety.org

Fee