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Koperasi Membership Card
Product by Co-operative Club of 
CHUNGLING
Start from 1
st
of September 2009Registration Form /
登记表格
 *
Name /
姓名
(As in NRIC / Passport)
(Eng)
 _______________________________________________  
(
中文
)
 ______________________________________________ *
NRIC / IC Number /
身份证号码
__________________________________________________ *
School Number /
学号
__________________________________________________ *
Date of Birth /
生日
__________________________________________________ *
Email Address /
电邮地址
__________________________________________________ *
Blog /
部落格
__________________________________________________ *
Home Address /
住家地址
__________________________________________________ *
Home Tel No. /
住家电话
 
*
Mobile /
手机
____________________ ______________________ 
For those who have registered and owned for the member card will have5% discount for buying stuffs in Koperasi shop of 
CHUNGLING
HighSchool. Each person can just owned for
1 card only
. No sharing for themember card while buying stuffs in Koperasi shop. To those who have themember card will get 5% discount on all items in Koperasi shop.P/s: For more details, LOGIN
www.clhscoop.blogspot.comPAYMENT MODE:
Come to Koperasi shop with this registration form.Co-op Member: RM5Non-Co-op Member: RM8

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