SHOSA Membership Application Form

SACRED HEART SCHOOL OLD STUDENTS' ASSOCIATION (SHOSA) P.O.BOX 99, 1 1 2 MILE, OYA ROAD, 96007 SIBU, SARAWAK MEMBERSHIP APPLICATION FORM I, ________________________(Chinese: ________________) I.C.No: _____________ of _____________________________________________________________________ hereby make my formal application to join SACRED HEART SCHOOL OLD STUDENTS' ASSOCIATION as a member and provide herein my personal particulars for consideration, and if my application is accepted, I shall undertake to abide by the rules and regulations of the SACRED HEART SCHOOL OLD STUDENTS' ASSOCIATION. Home address: ______________________________________________________________________ Business address: ____________________________________________________________________ Telephone No. H/P: _____________________________Office:________________________________ Home: _______________________________________Fax:__________________________________ E-mail Address: ________________________________Occupation:___________________________ Marital Status: _________________________________Sex:__________________________________ Nationality: ___________________________________Race:_________________________________ Year in school: From:____________To:_____________Date of leaving school:___________________ Highest Class Attended: _______________________________________________________________ Qualification: _______________________________________________________________________ Recommended By: ___________________________________________________________________ Date: ________________________________________Applicant's Signature: Entrance and Membership Fees: RM20 (Note: No more yearly subscription as from 1980) ________________________ …................................................................................................................................................................. For Office Use The above application for membership was approved by the committee on _______ day of __________ 20_____ Membership fee paid on _____/______/________ Through _________________________________ _______________ (Secretary) …....................................CUT--------------------------------HERE------------------------------------------------- TEMPORARY RECEIPT NAME OF APPLICANT : ________________________________________________________ MEMBERSHIP FEE PAID ON : ___________/_________________/_______________ RECEIVED BY : ________________________________________________________ (SACRED HEART SCHOOL OLD STUDENTS' ASSOCIATION, SIBU)

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Borang Permohonan SHOSA Sibu

Transcript of SHOSA Membership Application Form

Page 1: SHOSA Membership Application Form

SACRED HEART SCHOOL OLD STUDENTS' ASSOCIATION(SHOSA)

P.O.BOX 99, 112 MILE, OYA ROAD, 96007 SIBU, SARAWAK

MEMBERSHIP APPLICATION FORM

I, ________________________(Chinese: ________________) I.C.No: _____________ of _____________________________________________________________________ hereby make my formal application to join SACRED HEART SCHOOL OLD STUDENTS' ASSOCIATION as a member and provide herein my personal particulars for consideration, and if my application is accepted, I shall undertake to abide by the rules and regulations of the SACRED HEART SCHOOL OLD STUDENTS' ASSOCIATION.

Home address: ______________________________________________________________________

Business address: ____________________________________________________________________

Telephone No. H/P: _____________________________Office:________________________________

Home: _______________________________________Fax:__________________________________

E-mail Address: ________________________________Occupation:___________________________

Marital Status: _________________________________Sex:__________________________________

Nationality: ___________________________________Race:_________________________________

Year in school: From:____________To:_____________Date of leaving school:___________________

Highest Class Attended: _______________________________________________________________

Qualification: _______________________________________________________________________

Recommended By: ___________________________________________________________________

Date: ________________________________________Applicant's Signature:

Entrance and Membership Fees: RM20(Note: No more yearly subscription as from 1980) ________________________….................................................................................................................................................................For Office UseThe above application for membership was approved by the committee on _______ day of __________ 20_____Membership fee paid on _____/______/________

Through _________________________________ _______________(Secretary)

…....................................CUT--------------------------------HERE-------------------------------------------------TEMPORARY RECEIPTNAME OF APPLICANT : ________________________________________________________

MEMBERSHIP FEE PAID ON : ___________/_________________/_______________

RECEIVED BY : ________________________________________________________(SACRED HEART SCHOOL OLD STUDENTS' ASSOCIATION, SIBU)