PPBNKLS Membership Form

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PERSATUAN PERANAKAN BABA NYONYA KUALA LUMPUR & SELANGOR (PPBNKLS)

Peranakan Baba Nyonya Association Kuala Lumpur & Selangor (Nombor Pendaftaran/ Registration Number: 1290-08-WKL)

Unit B-8-3A, Block B, Menara KIP, No.1 Jalan Seri Utara 1, Seri Utara, Off Jalan Ipoh, 68100 Kuala Lumpur Tel : +6012-3151 451 E-mail : peranakan_kl@yahoo.com.my Webpage: https://ppbnkls.weebly.com

I wish to become an Ordinary Member/Associate Member/Youth Associate Member/ Life Member*** of the PERSATUAN PERANAKAN BABA NYONYA KUALA LUMPUR & SELANGOR (PPBNKLS) and agree to pay the Entrance Fee and Annual Subscription, and submit a photo of my MyKad/Passport to +6012 315 1451. If admitted as a member, I agree to abide by the Constitution of the Society. *

I agree

I disagree

Required

BORANG PERMOHONAN KEAHLIAN / MEMBERSHIP APPLICATION FORM

Name as per NRIC / Passport *

Gender
*

Female

Male

I'd rather not say

NRIC / Passport (Country) Number *

Date of Birth (dd/mm/yyyy) *

Country of Citizenship / Permanent Residency *

Mobile Number (main contact) *

Home Phone Number ( If Any ) NIL

Email Address (please put "NIL" if you don't have an email) *

Job title (eg. Accountant, Housewife, Retired Engineer, Teacher) *

Office Address ( If Any ) :

Home Address *

Correspondence Address:
*

Home address

Office address

Please briefly describe your Peranakan heritage;

Do you have ancestors who were Babas or Nyonyas?

Do you still practice some Peranakan culture?

I agree to pay the entrance fee for membership type as selected. (Choose one.) *

Ordinary / Associate Member - RM50.00

Youth Associate Member - RM10

I agree to pay the one time life or annual subscription per calendar year for membership type as selected. (Choose one) *

ORDINARY LIFE MEMBER - RM300 (one time)

ORDINARY MEMBER - RM30 per annum

ASSOCIATE LIFE MEMBER - RM300 (one time)

ASSOCIATE MEMBER - RM30 per annum

YOUTH ASSOCIATE MEMBER (18 and below) - RM12

Payment:

Ordinary or Associate membership total - RM80.00

Youth Associate membership total - RM22.00

Ordinary or Associate Life membership total - RM350.00

Please WhatsApp or email us the receipt. (+60123151451, peranakan_kl@yahoo.com)

Direct transfer to PPBNKLS Maybank Account No: 5141-6964-2835

Cheque bank in to PPBNKLS Maybank Account No: 5141-6964-2835

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