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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 vuf0J vuf aAG 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 yufpf yk'f"gwf yHk(3)yHkwJG wifyg/ 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&nf tcsif; Occupation tvkyf tudkif Current address vuf ½Sdae&yfvdyfpm Contact No. qufoG,f&efzkef;eHygwf E-mail FAX No. Marital status tdrfaxmif zuf 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 eH ygwf http://arakanrohingyacouncil.blogspot.com [email protected] Tel & Fax: +603-42854711
