 Membership
Off-Line Application Form
If you wish to join the IBBM
Sabah Toastmasters Club, please print out and complete the form below and
submit to IBBM Sabah Branch, 3rd Floor, Lot 74, Jalan Gaya, 88000 Kota
Kinabalu.
Membership Application Form
I would like to be a member
of IBBM Sabah Toastmasters Club. Enclosed is a cheque
no. ____________ for
RM________ payable to Institut Bank-Bank Malaysia.
Name : _____________________________________
IBBM Membership No. : ___________
NRIC No. : __________________
(Old) _______________________
(New) Sex :
_________
Age : _______
Designation : ___________________________________________________
Financial Institution :
___________________________________________________________
Correspondence Address :
______________________________________________________
____________________________________________________________________________
Tel : __________________
(O) __________________ (H) ______________________
(H/P)
Fax : __________________
E-Mail : ____________________________________________
Sponsor : ____________________________________________________________________
Mentor : _____________________________________________________________________
I learn about IBBM Sabah
Toastmasters Club from : _________________________________
___________________________________________________________
I hereby certify that the
above information is true and I agree to abide by the rules and regulations
of the Club.
Signature : __________________________________
Date : _______________________
FOR OFFICIAL USE ONLY
Fees paid on: ______________________
Official Receipt : ______________________
Approval Date : Exco
_____________________ Members _______________________
Mentor Assigned : _________________________________________________________
_______________________
_______________________ ______________________
President
VP Membership
Treasurer |
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