Sarawak Dayak Graduates Association (SDGA)
Membership Application

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Please submit this form to confirm your membership application
() Indicate required information

Membership Fee

RM 110.00
Registration Fees (RM10.00) + Life Membership Fees (RM100.00)

Personal Particulars

Full Name

Gender

New Identity Card

Old Identity Card

Date of Birth

Place of Birth

Ethnic Group

Address of Longhouse/Kampung

Occupation

Contact Information

Email Address

Mobile No.

Telephone No.

Fax No.

Residential Address

Tick If Correspondence Address

Office Address

Tick If Correspondence Address

Education Attainment

Diploma

Bachelor

Master

Doctorate

Professional

Others

Declaration

Application Proposed by

Application Seconded by

I would like to contribute and play a role in the following areas (please tick where applicable)

Education
ICT
Social
Research

Welfare
Religions/Spiritual
Legal

Sports
Cultural
Economics/Finance

Upload

Scanned copy of IC

Upload size should not exceed 2MB.
File must be submitted in PDF/JPG/PNG/GIF format

Scanned copy/Clear photo of diploma/degree/masters/PHD certificate/Letter of Completion

Upload size should not exceed 2MB.
File must be submitted in PDF/JPG/PNG/GIF format

I declare that the information given above is true, and if accepted as a member, I will abide by the constitution, rules and regulation of the Society

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Sarawak Dayak Graduates Association (SDGA)Membership Application