membership application form untuk members 18 tahun dan keatas

Persatuan Sukan Ekuestrian Negeri Sarawak (Sarawak Equestrian Sports Association)

RM 2.00 / form

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I wish to apply for Membership to the Persatuan Sukan Ekuestrian Negeri Sarawak and in doing so, declare that I agree to abide by the Persatuan Sukan Ekuestrian Negeri Sarawak’s Rules and Regulations. I declare that the information I provide on this Application Form is true and correct.

Reminder: Supplying false, incorrect or misleading information may lead to disqualification from being a member of PSENS.

Membership Registration Fee: RM50.00 Annual Subscription Fee: RM50.00

Cheques/Money Order/Cash payable to: Persatuan Sukan Ekuestrian Negeri Sarawak.

Name: ……………………………………………………………………………………………………

IC / Passport No: …………………………………………………………………………………………………...

Date of Birth: ……………………………………………………………………………………………………

Address: ……………………………………………………………………………………………………

……………………………………………………………………………………………………

……………………………………………………………………………………………………

Postcode: .............................................

Telephone: ………………………… E-Mail: ……………………………………………………

Signature: …………………………………………….. Date: …………………………………..

Next of kin (Full name) : ………………………………………………………………………………………………..

H/P No: ……………………………………………..

Signature: …………………………………………………. Date : ………………………………

Please complete & return this Membership Application Form, accompanied by your recent passport size photos (2 pcs), a photocopy of your IC and RM100.00 (Ringgit Malaysia One Hundred Only) (Cash/Cheque/Money Order) Fee payable to the “Persatuan Sukan Ekuestrian Negeri Sarawak”. Please take note that PSENS have the right to accept or to reject any application to be a Member. Any unsuccessful application will be notified and payment will be refunded in full. (Membership registration & Annual fee).

Persatuan Sukan Ekuestrian Negeri Sarawak Lot 3427 Kpg Sinar Budi Baru, Lrg 17 Tmn Desa Wira

93250 Jalan Batu Kawa, Kuching Tel: 019-8770074 E-Mail: ekuestrian.sarawak@gmail.com