Persatuan Bekas Pelajar Sekolah Menengah Kebangsaan Chung Hua, Miri

美中校友会

Miri Chung Hua Middle School Alumni Association

Membership Application Form

Personal Details

Name (Chinese)

Name (English)

Gender

NRIC No.

Date of Birth

Nationality

Race

Place of Birth

School & Work

Year Admitted

Year Leaving

Occupation

Interested Group (小组)

Contact Information

HP No.

Tel (Home) (Optional)

Tel (Office) (Optional)

Address (Home)

Address (Office)

Application Uploads

Upload Photo

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or click to browse files

Signature

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Membership Fee Payment

Payment Method *

Discount Code (Optional)

Membership Fee: RM125

Bank Transfer Instructions

Please transfer the membership fee to:

Bank: Maybank

Account No: 511010626684

Amount: RM125

After payment, upload your transaction receipt below.

Transaction Receipt (Image) *

Upload Receipt

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or click to browse files

Declaration and Agreement

I hereby declare that all the information provided above is true and accurate. I agree to abide by the constitution of the Miri Chung Hua Middle School Alumni Association.