Borang Pendaftaran

  • April 2020
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LIBRA LINK (0018229900-x) AS2-6-0 , Blok A , Jalan Puri , Desa Aman Puri 52100 Kepong , Selangor www.libra-link.co.cc Fax : 03-62752251 Hotline : 012-820-5595(24 hr) BORANG PENDAFTARAN AHLI A. MAKLUMAT PERIBADI Nama Penuh : ______________________________________________________________________________ No. Kad Pengenalan (Baru) : ____________________________ Jantina:______________________5. Bangsa: _______________________ 6. Agama: ____________________ Alamat Tetap: ______________________________________________________________________________ Poskod:_____________________ Bandar: __________________________ Negeri :______________________ Telefon Rumah : ___________________________________ 9. Telefon Bimbit: _________________________ E-mel : __________________________________________ MAKLUMAT AKADEMIK Pusat Pengajian : _______________________________ ____________________________ Fakulti: ______________________________________

2. Tahun Tamat : 4. Pusat Wilayah : ___________________________

Kelulusan : ________________________________________________________________________________ MAKLUMAT KERJAYA Jawatan : _________________________________________________________________________________ Nama dan Alamat Majikan : __________________________________________________________________ 3. Telefon: _____________________________________ 4. No. Faks: ________________________________ PENGALAMAN 1. ____________________________________________________________ 2. ____________________________________________________________ 3. ____________________________________________________________ PENGAKUAN Saya mengaku segala keterangan di atas adalah benar. Tandatangan:____________________________________Tarikh:______________________________________ Catatan: Sila kembalikan/poskan Borang Pendaftaran Ahli kepada Libra Link Co. dialamat …........................................... …........................................... ….......................................... ….......................................... ….......................................... atau

Email : [email protected] Faks : 03-62752251

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