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Membership Registration Form

Full Name: Student ID no. Intake Code: Age: Gender: Nationality: Date of Birth: Tel: Address in Malaysia: E-mail add: Facebook: (DD-MM-YYYY) (HP) UC F

Question: What do you expect to get from this Organisation?

Hereby, I __________________________________, sincerely to join ASPEC.Org by putting in my commitment, effort, be initiative and responsible.

Signature:______________________________ Date:____________________________

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