Homepages of Member Organisations of
Sabah Council of Social Services

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Malaysian Leprosy Relief Association Sabah Branch

Formation

Our Location

Aims & Objectives

Membership

Application Form

Management Committee

Activities

 

Membership Application Form

Datuk Datin Mr. Mrs. Ms. Miss

1 Name in capital letters:
2 I.C.No. 3.Date of Birth(dd/mm/yy)
4 Race 5.Martial Status Married Single
6 Nationality 7. Tel.No.
8 Occupation
9 Address
10 Type of Membership Ordinary Life
11 Branch 12 Your e-mail

* Annual subscription MR5.00; Life membership fee MR100.00

 

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Dikemaskini pada: 22-11-2003 12:18