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Events Calendar
May 2012
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Members' Area




I hereby apply to be a Member of Persatuan Senior Golfers Malaysia. I give below my personal particulars.

Name (*)
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Titles (*)
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Awards. Honours etc.
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I/C No. (*)
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Example - 471205025343
Birth Date (*)
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dd/mm/yyyy
Nationality (*)
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Other Nationality
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Profession (*)
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Home Address (*)
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Telephone (*)
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Mobile Phone (*)
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Fax
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Office Address
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Telephone (Office)
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Fax (Office)
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I am a member of the following golf clubs

Club 1
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Membership No.
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Club 2
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Membership No.
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Please address correspondence to :
(*)
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Entrance fee of RM600.00 and this year’s subscription
of RM150.00

To :

Honorary Secretary
Senior Golfers’ Society of Malaysia
71-2 Jalan 3/76D,
Desa Pandan
55100 Kuala Lumpur.
Cheque No.
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Date (*)
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(*)
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(*)
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