申请入会表格
晋汉斯省大埔同乡会
个人资料 Personal Information
中文姓名 Name (Chinese)
英文姓名 Name (English)
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性别 Gender
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Select Gender
男 Male
女 Female
身份证号码 IC Number
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Format: YYMMDD-PB-NNNN
出生日期 Date of Birth
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出生地点 Place of Birth
国籍 Nationality
年龄 Age
祖籍 Original Prefecture (Ancestral Home)
介绍人 Introduced By
职业资讯 Employment Information
职业 Occupation
任职机构 Present Employer
任职地址 Address of Employer
公司电话 Office Telephone
联络 Contact Information
住址 Home Address
手提电话 Mobile Phone
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住家电话 Home Phone
通讯地址 Postal Address
家长资料 Parent Information
申请人家长姓名 Name of Applicant's Parent
电话 Parent's Contact Number
通讯处 Parent's Postal Address
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宣誓书
我谨此宣誓上述为本人正確资料,并赞同晋汉斯省大埔同乡会宗旨,同时願意遵守有关章则,特此申请入会。 此誓
I hereby take Oath that the above particulars are true in consideration of my application for admission to KUCHING, SAMARAHAN AND SRI AMAN DIVISIONS TAI POO COMMUNITY ASSOCIATION, SARAWAK. I agree with the objects of the Association and shall abide by its constitution and rules.
会员费 Membership Fee: RM100
申请人姓名Applicant's Signature
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请输入您的全名作为电子签名。Please type your full name as your digital signature
Date
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