Fill in the form as below.

    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