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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
省
縣
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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