申请入会表格/Membership Application Form
英文名/English Name (根据身份证/As per NRIC)
*
中文名/Chinese Name
*
身份证号码/NRIC No
*
出生日期/Date of Birth
*
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Year
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
地址/Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
请选择
阿富汗
Albania
Algeria
American Samoa
安道爾
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
奧地利
Azerbaijan
The Bahamas
Bahrain
Bangladesh
巴巴多斯
Belarus
比利時
Belize
Benin
Bermuda
Bhutan
玻利維亞
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
加拿大
Cape Verde
開曼群島
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
丹麥
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
芬蘭
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
香港
Hungary
冰島
India
Indonesia
Iran
Iraq
Ireland
以色列
Italy
Jamaica
Japan
Jersey
Jordan
哈萨克斯坦
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
賴索託
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
米克羅尼西亞
Moldova
Monaco
Mongolia
Montenegro
Montserrat
摩洛哥
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
新西兰
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
挪威
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
秘魯
Philippines
Pitcairn Islands
Poland
葡萄牙
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
聖巴泰勒米
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
沙烏地阿拉伯
Senegal
Serbia
Seychelles
Sierra Leone
新加坡
Slovakia
斯洛文尼亞
所羅門群島
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
蘇丹
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
?
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
越南
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
电话号码/Telephone no
手机号码/Mobile no
*
电邮/E-mail
*
example@example.com
学历/Education Qualification
Please Select
小学/Primary
中学/Secondary
证书/Certificate
文凭/Diploma
高级文凭/Advance Diploma
学位/Degree
学士/Bache
硕士
博士
教授
大学/学院名称/University/College
在社团/政府机构/公司中的职业和职位
官方奖项/Official Award
家中排行/Ranking in Family
*
Please Select
1
2
3
4
5
6
7
8
9
10
房号
Please Select
1. 仁
2. 义
3. 礼
4. 智
5. 信
6. 金
7. 木
8. 水
9. 火
10. 土
世系/Generation
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
公公英文名(根据身份证)/Father's English Name (As per NRIC)
*
公公中文名/Father's Chinese Name
*
公公会员编号/Father's Membership No
婆婆中文名/Father's Chinese Name
*
父亲英文名(根据身份证)/Father's English Name (As per NRIC)
*
父亲中文名/Father's Chinese Name
*
父亲会员编号/Father's Membership No
父亲身份证号码/Father's NRIC No
*
母亲英文名/Mother's English Name
母亲中文名/Mother's Chinese Name
配偶英文名/Spouse's English Name
配偶中文名/Spouse's Chinese Name
配偶身份证号码/Spouse's NRIC No
1. 子女中文名/Child's Chinese Name
1. 子女英文名/Child's English Name
2. 子女中文名/Child's Chinese Name
2. 子女英文名/Child's English Name
3. 子女中文名/Child's Chinese Name
3. 子女英文名/Child's English Name
4. 子女中文名/Child's Chinese Name
4. 子女英文名/Child's English Name
5. 子女中文名/Child's Chinese Name
5. 子女英文名/Child's English Name
介绍人姓名/Name of Introducer
介绍人会员编号/Membership Number of Introducer
申请日期/Application Date
-
Month
-
Day
Year
Date
我特此加入 "Persatuan Keluarga Ng Teng Chin Malaysia", 并将遵守家族会的规章制度。除此之外,我还同意 "Persatuan Keluarga Ng Teng Chin Malaysia" 根据PDPA法案处理我的个人数据,并按照要求提供注册支持文件的详细信息。I, hereby would like to join as member of "Persatuan Keluarga Ng Teng Chin Malaysia" and will be abide by the rules and regulations of the association. Apart from that, I also consent "Persatuan Keluarga Ng Teng Chin Malaysia" to process my personal data as per PDPA act with details of the registration supporting documents as per requested.
申请人签名/Signature of Applicant
以下为本会专用(无须填写)
Below section is for Office Use (No need to fill in)
批准入会日期/Approved Date
-
Month
-
Day
Year
Date
批准入会号码/Approved Membership No
会长/总务签名
会员稽查组签名
提交申请/Submit Application
提交申请/Submit Application
Should be Empty: