Borang Keahlian Abbg

  • June 2020
  • PDF

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Untuk Kegunaan Pejabat (kosongkan)

ANGKATAN BELIA BERSATU GOMBAK ABBG

BORANG PENDAFTARAN KEAHLIAN Nama

Umur

No.K/P

Tahun Alamat

Pekerjaan

No Telefon -

Samb. ( Rumah/ HP )

Alamat E-mail

AKUAN Saya dengan ini mengaku bahawa kenyataan di atas adalah benar dan sah.

........................................ ( T/Tangan Ahli )

Tarikh : _______________

( Pejabat )

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