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Membership application form untuk members 18 tahun dan keatas
1. 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