Seminari Theoloji Malaysia Alumni Association

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STM Alumni Association

Life Member Application Form
Personal Information
Name per MyKad*
Full name
Title
If title above is other, please specify
Specify title
Gender*
Address Street 1*
Type N/A if outside Malaysia
Address Street 2
Type N/A if outside Malaysia
Address Street 3
Type N/A if outside Malaysia
Postcode*
Type N/A if outside Malaysia
City*
Type N/A if outside Malaysia
State*
Select N/A if outside Malaysia
For non-Malaysian, please enter address here
Mobile number*
E-mail*
example@example.com
Graduation
Year graduated (latest)*
Ministry
Denomination
Name of church / organization
Present ministerial position
Payment
Please make a one time payment of RM200.00

to "Pemegang Amanah Seminari Theoloji Malaysia Berdaftar"

RHB Bank Bhd Account 2-14389-0007093-1
Payment method*

Cash deposit / bank transferCheque
Cheque number
Bank-in date*

DayMonthYear
Date
Bank-in receipt*

Upload File

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STM Alumni Association