SABAH ASSOCIATION OF SENIOR CITIZENS

APPLICATION FOR MEMBERSHIP


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Datuk Datin Mr. Mrs. Ms. Miss

1 Name in capital letters:
2 I.C.No. 3.Date of Birth
4 Race 5.Martial Status Married Single
6 Nationality 7. Tel.No.
8 Occupation
9 Address
10 Type of Membership Ordinary Life
11 Proposer(will be filled later)
12 Seconder (Will be filled later)
13 Your e-mail address
Admission fee MR5.00, Annual subscription MR10.00; Life membership fee MR100.00

 

Please contact me as soon as possible regarding this matter.


Author information goes here.
Copyright 1995 [OrganizationName]. All rights reserved.
Revised: May 02, 1998.

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