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SEVENTH-DAY ADVENTIST CHURCH OF PENINSULAR MALAYSIA MISSION MEGAH RIA COMPANY MEMBERSHIP INFORMATION RECORD

Church : Acceptance By : PERSONAL INFORMATION First Name NRIC Number : Citizenship : Gender : Race : Profession : Residential Address : Postcode City/Town State Male Female Middle Name Family Name Date of Birth : Phone : Mobile Phone : E-mail : Membership Number : Membership Status :

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