APPLICATIONFORM PERSATUAN PERKHIDMATAN TAMAN ASUHANKANAK-KANAK (TASKA) SABAH
(ASSOCIATION OF CHILD CARE CENTRESERVICES, SABAH)
P.O.BOX 354,
83856 LIKAS,
KOTA KINABALU
BORANG PERMOHONAN AHLI 1. Nama: .............................................................
2. Alamat Rumah: ................................................
3. Nama Taska:....................................................
4. Alamat:............................................................
5. No. Telefon Rumah:......................................... Taska:........................................................
6. No. Kad Pengenalan/Passport:.........................
7. Warganegara:...................................................
8. Perkerjaan:......................................................
9. Tarikh Lahir:.................................................... Tempat:......................................................
10. Kelayakan:....................................................
11. Tandakan petak yang sesuai:-
ORDINARY MEMBER M$20.00 Setahun
AHLI BIASA
ASSOCIATE MEMBER M$20.00 Setahun
AHLI GABUNGAN
INSTITUTIONAL MEMBER M$50.00 Setahun
AHLI WAKIL INSTITUSI
INDIVIDUAL LIFE MEMBER M$200.00 Setahun
AHLI SEUMUR HIDUP
12. Cek berpalang/kiriman wang hendaklah dibayaratas nama:
PERSATUAN PERKHIDMATAN TASKA SABAH
P.O. BOX 354,
83856 LIKAS,
KOTA KINABALU, SABAH.
............................................. Tarikh................................
Tandatangan Penuh Pemohon