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入会申请书 Member Application Form

UCW - ( HQ ) - ( ) - NO :

NRIC

本公司同意贵会宗旨,愿遵守贵会章程及一切议决案,今填具下列表格申请加入 永久会员,敬请批准。

Company wish to apply as Life/ Associate member of the United Commerce of Women Association.

I/ We agree to abide the rules and regulations of the Association. I/ We submit particulars as follow:

SSM
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会员列表 MEMBER CATEGORY

请在 ( A ) 和 ( B ) 的相关格子内划 '✓'

Please tick at the relevant box of Item (A) and (B)

( A )

( B )

申请者资料 APPLICANT’S PARTICULAR

请用正楷/ 英文大字母填写 Please fill in BLOCK LETTERS

公司联通入会申请书,附上入会基金与年捐/ 永久会员捐RM (支票号码 ),敬请查收及批准。

Company attached herewith membership application form together with a cheque of RM (Cheque No. ) being payment of entrance fee and annual subscription.

ACKNOWLEDGEMENT AND CONSENT

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备注:

  1. 入会永久会员需捐献马币2000.00 。
    CONTRIBUTE RM 2000.00 AND BE UCW LIFETIME MEMBER.
  2. United Commerce of Women Association Contribution Fee shall be paid by the following method:
    Bearing account number: 512455174490

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MEMBER APPLICATION
APPLICATION INFORMATION
DATE OF REGISTRATION( )
Surname:
First Name: Mobile: Phone:
ID Number: Gender:
Current address: State: ZIP Code:
City: Position:
EMAIL:
Other Information
Employer address:
Employer Name: E-mail: Fax: -
Phone: - State: ZIP Code:
City: Annual income:
POSITION:
Emergency Contact
Name of a relative not residing you: Phone: -
Address: State: ZIP Code:
City:
SUBSCRIPTION TYPE:
Monthly: Annualy: Quaterly:
DEPOSIT OF MEMBERSHIP DETAILS:
BEARING NAME: UNITED COMMERCE OF WOMEN ASSOCIATION
BANK NAME: MAYBANK
BEARING ACCOUNT NUMBER: 5124 5517 4490
SWIFT CODE: MBBEMYKL

ACKNOWLEDGEMENT AND CONSENT


I/We hereby would like to apply for United Commerce of Women Association lifetime membership. I/We hereby understand, acknowledged and agreed to comply and adhere with the United Commerce of Women Association Membership Rules and Regulations. I/We hereby undertake to indemnify UCW in full for all losses and damages if I/We have violated UCW Rules and Regulation, inappropriate action and verbal behaviour which cause UCW image being tarnish, defame or damage and/or suffer from monetary losses and damages.
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