Please enable JavaScript in your browser to complete this form.个人资料 - Step 1 of 6CHINESE NAME 中文名字 ENGLISH NAME 英文名字 IC NUMBER 身份证号码PHOTO 个人头像照 Click or drag a file to this area to upload. GENDER 性别Male 男Female 女DATE OF BIRTH 出生日期DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920下一步CITIZEN 国籍马来西亚新加玻汶莱其他OTHER CITIZEN 其他国籍RACE 籍贯潮州昭安福建福州海南興化廣東客家其他OTHER RACE 其他籍贯RELIGION 宗教佛教基督教道教天主教无神论者其他OTHER RELIGION 其他宗教STATUS 婚姻状况单身已婚其他SPOUSE NAME 配偶名字返回下一步H/P 手提电话HOME TEL. NO 住家电话EMAIL 电子邮件WhatsApp 账号(若有)WeChat 微信账号(若有)返回下一步 OCCUPATION 职业自雇人士受薪人士公务人员退休人士COMPANY NAME 公司名字NATURE OF BUSINESS 公司类别COMPANY CONTACT 公司联络号码返回下一步ADD FAMILY MEMBER 填写家庭成员资料是否家庭成员1CHINESE NAME 中文名字DATE OF BIRTH 出生日期 MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920RELATION 关系MORE FAMILY MEMBER 更多家庭成员家庭成员2CHINESE NAME 中文名字DATE OF BIRTH 出生日期MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920RELATION 关系MORE FAMILY MEMBER更多家庭成员家庭成员3CHINESE NAME 中文名字DATE OF BIRTH 出生日期MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920RELATION 关系MORE FAMILY MEMBER ？更多家庭成员？家庭成员 4 或以上填写更多家庭成员返回下一步AGREEMENT 会员条规 INTRODUCER (if any) 介绍人 (若有)同意条文 *本人同意缴付永久会员基金 RM 180付款证明 Click or drag a file to this area to upload. Hong Leong Bank : 25501001170 | Wu Clan Association Miri同意所有条件 *本人愿意遵从美里吴氏宗亲会的所有会员条规Signature 签名Clear SignatureComment呈交
