(FOR OFFICIAL USE ONLY)
Application For Membership : APPROVED / REJECTED
by Executive Council on :              
Membership No. Allocated :              
             
SECRETARY PRESIDENT
(Signature) (Signature)
Particulars of Payment :-
Entrance fee : M$ 10.00
Union & Benevolent Subscription  : M$ 11.00 (For the period of_______________)
Benevolent Fund : M$ 30.00
Total : M$ 51.00   Receipt No:    
TREASURER
Note:  This form is to be completed in DUPLICATE. Upon approved by Executive Council, a copy will be returned for record.