KOPERASI BUDDHISME MALAYSIA KOPERASI BUDDHISME MALAYSIA BERHAD (MALAYSIA BUDDHIST CO-OPERATIVE SOCIETY
KOPERASI BUDDHISME MALAYSIA KOPERASI BUDDHISME MALAYSIA BERHAD (MALAYSIA BUDDHIST CO-OPERATIVE SOCIETY
KOPERASI BUDDHISME MALAYSIA KOPERASI BUDDHISME MALAYSIA BERHAD (MALAYSIA BUDDHIST CO-OPERATIVE SOCIETY
KOPERASI BUDDHISME MALAYSIA KOPERASI BUDDHISME MALAYSIA BERHAD (MALAYSIA BUDDHIST CO-OPERATIVE SOCIETY

KOPERASI BUDDHISME MALAYSIA KOPERASI BUDDHISME MALAYSIA BERHAD (MALAYSIA BUDDHIST CO-OPERATIVE SOCIETY

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  • No. 15, Jalan SS3/6, 47300 Petalig Jaya, Selangor Darul Ehsan.

    Tel/Fax : 603 - 7875 7808 E-mail: budiscop@gmail.com Website: www.mbcs.org.my

  • KOPERASI BUDDHISME MALAYSIA BERHAD (MALAYSIAN BUDDHIST CO-OPERATIVE SOCIETY LIMITED)

    (PLEASE USE CAPITAL LETTERS) 1. Name (as per NRIC) :_____________________________________________________________

    2. NRIC no. :_____________________________________________________________

    3. Date of Birth :_____________________________________________________________

    4. Gender :_____________________________________________________________

    5. Occupation - Employer :_____________________________________________________________

    - Position :_____________________________________________________________

    6. Permanent Address :_____________________________________________________________

    _____________________________________________________________

    ______________________ Postcode : ___________________________

    7. Correspondence Address :_____________________________________________________________ _____________________________________________________________

    ______________________ Postcode : ___________________________

    8. E-mail Address :_____________________________________________________________

    9. Telephone No : (H/P)______________________ (Res) ___________________________

    (Off) _______________________ ext ___________________________

    I offer myself for admission to membership of the Co-operative Society and enclosed herewith the sum of:

    1) Entrance Fee RM 20.00

    2) Shares subscription RM

    3) Total RM

    Payment : By Cash [ ] By Cheque No.

    * Minimum subscription one hundred (100) shares @RM1.00 per share. All cheques should crossed “Account Payee” and made payable to KOPERASI BUDDHISME MALAYSIA BERHAD / Current Account No: 3072 900 736 (Public Bank) Please do not send cash through the mail. Signature : _________________________ Date : ________________________________

  • MEMBERS DECLARATION Declaration made in accordance to requirement under the Society’s by-laws 13 and regulation 10 of the

    Co-operative Societies Regulation 1995 DECLARATION

    To, The Board of Directors Koperasi Buddhisme Malaysia Berhad (Malaysian Buddhist Co-operative Society Limited)

    I declare, that I am not mentally disabled;

    I declare, that I am not an undischarged bankrupt;

    I declare, that I am not a person whom a conviction stands for a registerable offence;

    I declare, that I have not been expelled from membership under this Act whereby a period of one year has not elapsed from the date of such expulsion;

    I undertake, if admitted, that so long as I remain a member of the Society observe all the provisions of the by-laws, rules and regulations of the Society for the time being in force.

    I declare that the information provided are accurate summary of all facts relating to myself, profession or business status which influence the acceptance or otherwise of this application.

    Signature : ___________________________________________ Name : ___________________________________________ Date : ___________________________________________

  • KOPERASI BUDDHISME MALAYSIA BERHAD (MALAYSIA BUDDHIST CO-OPERATIVE SOCIETY LIMITED)

    MEMBER’S NOMINEE

    I, hereby agree to name the following person(s) as my nominee(s) who upon my death will inherit my membership, in accordance to the by-laws of the society. No. Name NRIC. No./Birth Cert. No. Relationship % Share 1

    2

    3

    4

    Total 100%

    Applicant’s signature :_____________________________________________________________ Date :_____________________________________________________________ Remarks: If more than one nominee, membership will automatically be transferred to the first named nominee above WITNESS Signature : (1) ____________________________ (2) ____________________________________ Name : (1) ____________________________ (2) ____________________________________ Date : _______________________________ REPLY SLIP (Please fill for acknowledgement) Mr/ Miss/ Mdm : ___________________________________________________________________

    Address : ___________________________________________________________________

    ___________________________________________________________________

    ___________________________________________________________________

    Your application received on _____________________________________________________________

    membership-2 membership KOPERASI BUDDHISME MALAYSIA BERHAD FOR OFFICIAL USE ONLY APPLICATION ACCEPTED APPLICATION REJECTED

    DECLARATION Koperasi Buddhisme Malaysia Berhad MEMBER’S NOMINEE

    WITNESS