Borang Ahli Seniman ( Page 2 )

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BAYARAN YURAN PENDAFTARAN AHLI BIASA (I)

Yuran Pendaftaran Menjadi Ahli ...............................................................................................

RM 50-00

(ii)

YURAN TAHUNAN

RM 30-00

.............................................................................................................

AHLI BERSEKUTU (i)

Yuran Pendaftaran Menjadi Ahli

...........................................................................................

RM 50-00

(ii)

YURAN TAHUNAN

.............................................................................................................

RM 20-00

Bersama ini saya sertakan bayaran pendaftaran menjadi Ahli Biasa / Ahli Bersekutu sebanyak RM ............................ (Ringgit Malaysia : .............................................................................................. )

Tarikh: .....................................................

.............................................................................. (Tandatangan Pemohon)

PENGAKUAN PENCADANG DAN PENYOKONG PENCADANG :-

Nama Penuh : ............................................................................................. No. Pendaftran Ahli : ................................................................................

.............................................................................. (Tandatangan)

PENYOKONG :-

Nama Penuh : ............................................................................................ No. Pendaftaran Ahli : .............................................................................

............................................................................... (Tandatangan)

UNTUK TINDAKAN URUSETIA

Bilangan Daftar Ahli : .............................................................................................

Bertarikh : .......................................................

Permohonan ini telah disahkan dan dipersetujui oleh Mesyuarat. Mesyuarat AJK yang ke ............................................................................ bersidang pada ...............................................................

.................................................................... (PRESIDEN)

................................................................... (SETIAUSAHA)

................................................................ (BENDAHARI)

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