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