Membership Application Form

Persatuan Bekas Murid Tsung Wah Selangor Dan Wilayah Persekutuan Kuala Lumpur

P.B.M. TSUNG WAH LIFE / ASSOCIATE MEMBERSHIP APPLICATION FORM
Name*

姓名Name in English
Gender*
Marital Status
Mailing Address *
NRIC No *
Email Address *
example@example.com
Tel (Mobile) *

Country CodeOperatorPhone Number
Name of Employer / Company
Occupation / Designation
Office Address
Tel (Office)
Email Address
example@example.com
学历 Qualification
曾就读崇华 Studied in Tsung Wah*
离校年度 Year Left School*
离校年级 Last academic year
I will abide to all the rules and regulations and accept the terms and conditions stipulated by the Association and applying as a ________ member of Persatuan Bekas Murid Tsung Wah Selangor dan Wilayah Persekutuan Kuala Lumpur*
Applicant Signature *

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Date *

DayMonthYear
Date
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