SARAWAK TEACHERS’ UNION

Wisma STU, Lot 10966, Jalan Song, 93350 Kuching

Tel: 082-575120 Mobile No.: 012-2111965 Fax: 082-574120 Website: www.stu.org.my

Membership Application Form

Name
New IC No. Date of Birth Stick Your
Passport Size
Gender Religion
Colour Photo
Race Marital Status Here
Major Option

Postal Address

Mobile Phone No. Email

School / Office

School Phone No.

Personal File No. Salary No (No Gaji)

Pay Centre Grade
Introduced by Introducer’s ID
Declaration
The information given by me is true and correct. I agree to:
(a) authorise Sarawak Teachers' Union to deduct from my payroll via BPA
RM10.00 monthly as Union’s Subscription Fee
RM5.30 monthly to enroll STU MUI PA insurance
(b) observe all Rules and Regulations of Sarawak Teachers' Union and will play an active role in all of its activities.
(c) keep the Union informed immediately of any changes to my employment status and personal particulars that
affect my membership status and benefits
(d) I hereby declare all that the information given above is correct to the best of my knowledge and will abide by
the rules and constitution of Sarawak Teachers’ Union. I enclose herewith :
A certified true copy of my latest salary slip A certified true copy of my NRIC
2 passport size photographs Completed Angkasa Form
Photocopy of bank book (first Page) as stated in the salary slip
RM2.00 Entrance Fee- If you pay by online payment, you MUST submit your transaction slip through WhatsApp
012-2111965 – (Public Bank 3080 7428 26)

Signature of Applicant Date

For Office Use Only
Date Join Union Membership No.
Official Receipt No. Application Received On
Application Checked On Membership Card Issued On

Authorised Signature
Please submit this form to Wisma STU (HQ / SIBU/ MIRI) offices together with the attachment
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SARAWAK TEACHERS’ UNION

Introducer
 S E L E N A A N A K G O M E Z

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-----------NAMA DAN ALAMAT SEKOLAH @ PUSAT BERTUGAS----------------

012 - 2119655 PBB 7034 0112 07 DG 44

 SELENA ANAK GOMEZ

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CONTOH

NAMA/JAWATAN
MAJIKAN contoh
( GURUBESAR,
PEGETUA, CONTOH
PEGAWAI PPD)