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01 May 2016

JOIN MEMBER

Posted by CikTulip at 21:38 0 comments


APPLICANT INFORMATION / MAKLUMAT PEMOHON
Name / Nama :
New NRIC No. / No. KP Baru :
Date Of Birth / Tarikh Lahir :
Nationality / Warganegara :
Sex / Jantina : Male / Lelaki
Female / Perempuan
Terms Of Address / Gelaran Kehormat : Encik / Mr
Puan / Mrs
Cik / Ms
Marital Status / Status Perkahwinan : Single / Bujang
Married / Kahwin
Others / Lain-lain
RACE / BANGSA : Melayu / Malay
Cina / Chinese
India / Indian
Bumiputra Sabah
Bumiputra Sarawak
OCCUPATION / PEKERJAAN : BEAUTICIAN / JURUSOLEK
BUSINESSMAN / PENIAGA
EXECUTIVE/SECRETARY / EKSEKUTIF/SETIAUSAHA
GRADUATE / GRADUAN
HOUSEWIFE / SURI RUMAH
LECTURER/TEACHER / PENSYARAH/GURU
MANAGER / PENGURUS
PROFESSIONAL / PROFESIONAL
OTHERS / LAIN-LAIN
POSTAL ADDRESS / ALAMAT SURAT MENYURAT :
HANDPHONE / TELEFON BIMBIT :
Email Address:
SAVING OR CURRENT ACCOUNT NO. / NO. AKAUN :
BANK NAME / NAMA BANK : CIMB BANK
MAYBANK
HONG LEONG BANK BERHAD
MALAYAN BANK BERHAD
PUBLIC BANK


SPOUSE INFORMATION (MARRIED) / MAKLUMAT PASANGAN (KAHWIN)
Name / Nama :
New NRIC No. / No. KP Baru :
Date Of Birth / Tarikh Lahir :

BENEFICIARY INFORMATION / MAKLUMAT PEWARIS
Name / Nama :
New NRIC No. / No. KP Baru :
Relationship / Hubungan :

TO / KEPADA : MELILEA (M) SDN BHD.
AGREEMENT / PERJANJIAN : I / We wish to apply and become the Distributor of MELILEA (M) SDN BHD with all terms and conditions. / Saya / Kami ingin memohon untuk menjadi Distributor MELILEA (M) SDN BHD. dengan segala terma dan syarat.

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feel free to contact me at ciktulip.ungu@gmail.com and thanks for reading ^___^V

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