加入尊孔校友会

雪 隆 尊 孔 學 校 校 友 會
PERSATUAN BEKAS MURID-MURID CONFUCIAN SCHOOL WILAYAH PERSEKUTUAN DAN SELANGOR
THE CONFUCIAN SCHOOL ALUMNI ASSOCIATION FEDERAL TERRITORY AND SELANGOR

入 會 申 請 書 Membership Application Form

中文姓名 Chinese Name (required)		身份證號碼 N.R.I.C. No. (required)
Name (required)		Date of Birth (required)E.g. dd/mm/yyyy
Race (required)	Nationality (required)	Sex FemaleMale
Permanent Address (required)		Occupation (required)
Mailing Address		E-mail (required)
Tel (Home)	Tel (Office)	Tel (Mobile)(required)

	校友填 For Alumnus / Alumna Only	教职員填 For Associate Member Only
尊孔学校	入学年份 , 離校年份	服務年份 , 離校年份
尊孔华小	入学年份 , 離校年份	服務年份 , 離校年份
尊孔國中	入学年份 , 離校年份	服務年份 , 離校年份
尊孔独中	入学年份 , 離校年份	服務年份 , 離校年份

謹此申明, 餘年齡已達十八歲，現亦不在任何學校或學院繼續求學。 餘願遵守本會章程及一切議決案，申請為會員。	Signature
I, the undersigned hereby apply for membership of The Confucian School Alumni Association, I declare that I have attained the age of 18, and that I am not at present attending any school, institution or place of learning. I further declare that I shall abide by the Constitution, Regulation and Resolution of the Association.	Date

推荐人 Name of recommender(required)	附议人 Name of seconder
會員號碼 Member No.	會員號碼Member No.
Signature	Signature
Date	Date