Tel.

(R):
Tel. (H/p):
* I can and will abide and follow all the Rules and Regulation stipulated in the Athletic Club's Constituition.
Yes No
* I will attend all the board and general meetings.
Yes No Time am / pm
* My parents have agreed and gave me consent to join the Athletic Club. Parents signature
Yes No
* Do your parents know that the Athletic Club is a sports service orientated club?
Yes No
* Is there any objection from your parents, if you join the Athletic Club?
Yes No
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Herewith I declare that all the above information given are true to my knowledge.
If any of the information given are found untrue, it can and may be used to reject my application.
I can be forfeited, refered to the school discipline board or counseling for cheating or trying to cheat the Athletic Club.
SMK. METHODIST (ACS) SITIAWAN, 32000 SITIAWAN
Country
PERSONAL DETAILS
Nationality
Name
Postcode
State
ATHLETIC CLUB
MEMBERSHIP APPLICATION FORM
City
(Full name in capital letters)
Form / Year Identity Card No.
yrs. / *Male / Female
Age / Sex
Pleae attach your photo here
OFFICIAL Use only
Blood Group
Please state 5 rules and regulation of the Athletic Club of SMK. Methodist (ACS) Sitiawan.
* Please tick '_/' at the appropriate boxes correctly. "Honesty is the best policy"
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Address
Date received
continue
1 Please tell us what do you expect to learn and experience from the Athletic Club. (We would like to know why
you are interested to join the Athletic Club).
2 Please write the names of the current Board of Directors of Athletic Club os ACS Sitiawan and get their signature (initials).
3 Please suggest 3 activity that you think will benefit you and the fellow members.
1 I shall abide to all the rules and regulation set (written and verbal instruction) by the Athletic Club.
2 I shall be responsible for my behavior, action and attitude if I am successfully accepted into the Athletic Club.
3 I shall be liable for all my negligence and will NOT hold the Athletic Club President, Athletic Club Board of Directors,
Members, Teacher Advisors, Teachers, School Principal, related Sports Associations, Education Department and
or the Ministry of Education in whatsoever conditions.
Parents please read the above conditions carefully and understand
them before giving your consent for your child to join the Athletic Club.
To,
__________________________
Hereby, base on our discussion and evaluation, ** we are pleased to inform you of your acceptance /
we regret to inform that you have failed the criterion set to be a member of the Athletic Club of
SMK. Methodist (ACS) Sitiawan, effective from _____________________
Member's Name : _______________________________ Member's Name : _______________________________
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Applicant's Signature Parents Signature
2
Form 4
Form 6
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Form 3 Secretary
Vice President
Committee Member
Form 5
Athletic Club (ACS)
Teacher Advisor
Athletic Club (ACS)
Signature : _______________________________ Signature : _______________________________
Date : _______________________________ Date : _______________________________
President
Proposed by, Seconded by,
Teacher Advisor President
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Treasurer