SRP Membership Application Form You are here:HomeSRP Membership Application Form NOTICE Please kindly note that this form is currently under construction. To register, please complete the SRP Application Form. Thank you and sorry for the inconvenience caused. Registered Psychologist Application Form A. Personal ParticularsName* First Last Preferred name on SRP certificate:*Sex*MaleFemaleDate of Birth* If you are able to provide psychology services to the public, please specify which languages you are able to provide such services in. Languages: English Mandarin Malay Tamil Others Please SpecifyLicenses held / Membership of other professional societies / associations (include license/membership number): B. Qualifications 1. Specify your Master or Doctoral degree in Applied Psychology (Note: degrees in other fields such as Family Therapy or Counselling do not qualify). Postgraduate Applied Psychology Degree Institution and CountryDuration of Training (month/year)Exact degree titleSpeciality (E.g., Counselling)2. Attach ‘certified true copies’ of all your transcripts for your qualifications.3. If applicable, attach ‘certified true copies’ of all licenses/practicing certificates held.