Post on 17-Jul-2016
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tzGJU0ifcGifhavQmufvTm Membership Application Form
I hereby declare, after thoroughly reading and understanding, that I agree with all the terms and conditions stated in the Rules and Regulations of Arakan Rohingya Council on my own free-will . tm&umef ½dk[if*smaumifpD\ zGJYpnf;yHktajccHpnf;rsOf; wGifa&;om;xm;aom tcsuftvufrsm;tm;vHk;udk zwf½I em;vnfNyD; udk,foabmeJYudk,f vGwfvyfpGmjzifh oabmwlnDaMumif; atmufwGifvufrSwfa&;xdk;ygonf/
Left finger print
vuf0JvufaAG Applicant’s Signature avQmufxm;ol\vufrSwf
D D M M Y Y Y Y
D D M M Y Y Y Y
om;^orD;trnf Name of Son/Daughter
arG;zGm;&ma'o Place of Birth
arG;ouú&mZf Date of Birth
om;^orD;trnf Name of Son/Daughter
arG;zGm;&ma'o Place of Birth
arG;ouú&mZf Date of Birth
Office Use Only:- Approved Not Approved ½Hk;oHk;om cGifhjyKonf cGifhrjyK
rif tjym^trnf; udkomoHk;yg/Write in blue/black ink only. rMumao;cifu½dkuful;xm;aom yufpfyk'f"gwfyHk(3)yHkwJGwifyg/ Attach with three (3) recently taken Passport photos.
Membership Reg. No.: Office use only toif;0ifrSwfyHkwiftrSwf? ½Hk;oHk;om
Name trnf
Gender vdif
Male Female usm; r
Date of birth arG;ouú&mZf
Age jynfhNyD;touf
Years ESpf
Father’s name tztrnf
Mother’s name trdtrnf
Place of birth arG;zGm;&ma'o
Vil., Town, State. &yfuGuf? NrdKUe,f? jynfe,f^wdkif;
Education ynmt&nftcsif;
Occupation tvkyftudkif
Current address vuf½Sdae&yfvdyfpm
Contact No. qufoG,f&efzkef;eHygwf
E-mail FAX No.
Marital status tdrfaxmifzuf
Single Married r½Sd ½Sd
Other memberships tzGJY0if tzGJYrsm;
Name of Spouse cifyGef;^ZeD; trnf
(D/S of ) (b) [Race: ( )vlrsKd;?Citizen: ( )EdkifiHom;]
Date of arrival in Malaysia rav;½Sm;a&muf&ufpGJ
UNHCR ref# UNHCR eHygwf
http://arakanrohingyacouncil.blogspot.com arc.council.my@gmail.com Tel & Fax: +603-42854711
tzGJU0ifcGifhavQmufvTm Membership Application Form
I hereby declare, after thoroughly reading and understanding, that I agree with all the terms and conditions stated in the Rules and Regulations of Arakan Rohingya Council on my own free-will . tm&umef ½dk[if*smaumifpD\ zGJYpnf;yHktajccHpnf;rsOf; wGifa&;om;xm;aom tcsuftvufrsm;tm;vHk;udk zwf½I em;vnfNyD; udk,foabmeJYudk,f vGwfvyfpGmjzifh oabmwlnDaMumif; atmufwGifvufrSwfa&;xdk;ygonf/
Left finger print
vuf0JvufaAG Applicant’s Signature avQmufxm;ol\vufrSwf
D D M M Y Y Y Y
D D M M Y Y Y Y
om;^orD;trnf Name of Son/Daughter
arG;zGm;&ma'o Place of Birth
arG;ouú&mZf Date of Birth
om;^orD;trnf Name of Son/Daughter
arG;zGm;&ma'o Place of Birth
arG;ouú&mZf Date of Birth
Office Use Only:- Approved Not Approved ½Hk;oHk;om cGifhjyKonf cGifhrjyK
rif tjym^trnf; udkomoHk;yg/Write in blue/black ink only. rMumao;cifu½dkuful;xm;aom yufpfyk'f"gwfyHk(3)yHkwJGwifyg/ Attach with three (3) recently taken Passport photos.
Membership Reg. No.: Office use only toif;0ifrSwfyHkwiftrSwf? ½Hk;oHk;om
Name trnf
Gender vdif
Male Female usm; r
Date of birth arG;ouú&mZf
Age jynfhNyD;touf
Years ESpf
Father’s name tztrnf
Mother’s name trdtrnf
Place of birth arG;zGm;&ma'o
Vil., Town, State. &yfuGuf? NrdKUe,f? jynfe,f^wdkif;
Education ynmt&nftcsif;
Occupation tvkyftudkif
Current address vuf½Sdae&yfvdyfpm
Contact No. qufoG,f&efzkef;eHygwf
E-mail FAX No.
Marital status tdrfaxmifzuf
Single Married r½Sd ½Sd
Other memberships tzGJY0if tzGJYrsm;
Name of Spouse cifyGef;^ZeD; trnf
(D/S of ) (b) [Race: ( )vlrsKd;?Citizen: ( )EdkifiHom;]
Date of arrival in Malaysia rav;½Sm;a&muf&ufpGJ
UNHCR ref# UNHCR eHygwf
http://arakanrohingyacouncil.blogspot.com arc.council.my@gmail.com Tel & Fax: +603-42854711