Borang Keahlian Ppps

  • May 2020
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PERSATUAN PENDUDUK PERUMAHAN SONIA, SEKSYEN 8, KOTA DAMANSARA, PETALING JAYA, SELANGOR DARUL EHSAN No. 1, Jalan Pekaka 8/11, Seksyen 8, Kota Damansara 47810 Petaling Jaya, Selangor Darul Ehsan No. Pendaftaran : 1497-09-SEL www.sonia-sek8.blogspot.com

BORANG KEAHLIAN A. MAKLUMAT DIRI Nama Penuh : _______________________________________ Tarikh : ___________ No. K.P Baru : _____________________ Tarikh Lahir : ____________ Umur : _______ Tempat Lahir : _____________________ Jantina : __________ Keturunan : ________ Alamat Rumah : No. ____, Jalan Pekaka _____, Seksyen 8, Kota Damansara, 47810 Petaling Jaya, Selangor Darl Ehsan. No. Tel. Rumah : _____________________ No. Tel. Bimbit : _____________________

Pekerjaan

: _____________________ Tandatangan : ______________________

Alamat Majikan : ________________________________________________________ ________________________________________________________ No. Tel. Pejabat : ____________________ Emel : _____________________________ B. MAKLUMAT AHLI KELUARGA/LAIN Bil.

Nama

Hubungan

Umur

1. 2. 3. 4. 5. 6. 7. 8.

*

Sila gunakan kertas lampiran sekiranya ruangan ini tidak mencukupi.

C. KEGUNAAN PERSATUAN Permohonan ini telah disokong / tidak disokong oleh: Tarikh disokong : ________________ PPPS Sek.8 KD (Pind. 1/2009) hi/ama

______________________________ (Nama, Tandatangan & Jawatan)

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