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Malaysia Norway Business Council
C/o Royal Norwegian Embassy
P.O. Box 10332, 50710 Kuala Lumpur
Telephone +(60)3 2175 0300, Telefax +(60) 3 2175 0308, Mobile
+(6) 017 602 9013
Web: www.mnbc.com.my, E-mail: malaysianorwaybc@gmail.com
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MEMBERSHIP APPLICATION FORM
(Individual Member)
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________________________________________________________ |
(Name) |
| hereby apply to become an
individual member of the Malaysia Norway Business Council and I agree on
acceptance to bound by the Memorandum and Articles of the
Association, and rules and regulations
of the Council for the time being in force. |
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| Nationality:
_______________________ |
Occupation:
___________________________ |
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Name of employer/
Business |
_________________________________________________________________ |
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Address of
employer/
Business: |
_________________________________________________________________
_________________________________________________________________ |
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| Telephone: _______________ |
Telefax: _______________
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E-mail: _________________
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Corr. address
(if diff. from above) _______________________________________________________________ |
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_______________________________________________________________ |
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| Date: |
_______________________ |
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| Signature: |
______________________________________ |
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| Note (I) |
Application must be accompanied by an Entrance fee of
RM375 and Annual fee of RM250, totaling RM625. |
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| Note (II) |
All drafts/cheques should be crossed and made payable to Malaysia Norway Business
Council. |
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| Please send the form
by mail or fax to Malaysia Norway Business
Council. |