会员申请表格 .pdf

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Original filename: 会员申请表格.pdf
Author: HAKKA

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入 會 申 請 表
APPLICATION FOR MEMBERSHIP
編 號
Ref.No.

申請日期
Date :

余願意遵守本會章程及服從一切議決案,申請加入為會員,特填具申請書為据。
中文姓名
Name in Chinese
英文姓名(須照身份証)
Name in English
(As in Identity Card)

職業
Occupation

性別 :
Sex :

身份証號碼
Identity Card No.

出生日期
Date of Birth

藉貫


Native Province

公民權號碼
Citizenship No.

電話 (辦事處)
Tel: (住家或手提)

通訊處(國文)
Address : ____________________________________________________________
_____________________
____________________________________________________________
________________ _______郵區編號
父親姓名
(存/逝)
Father's Name
Alive / Pass away

母親姓名
(存/逝)
Mother's Name
Alive /Pass away

附 註 : 歡迎非公民我族參加,但無被選權 具志願者人簽名
Applicant :
批准人
Approved by:

介紹人姓名及簽名
Recommeder:

收据號碼
Receipt No.

贊成人姓名及簽名
Seconder :

款額
Amount :

請復印身份證

Poss Code :
丈夫/妻室姓名
(存/逝)
Hasband's /Wife's Name
Alive /Pass away


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