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ATOMY MEMBERSHIP APPLICATION (MS-01-01)

Name:

Member ID: IC/PR card No.:

Sponsor’s name: Sponsor’s ID:

Contact No.: Email:

 Please take picture of this page only 


Please place your original IC on the column provided, take a picture of this form and
upload the file through www.atomy.kr/m/mload_my
Cherish the spirit

Create the Vision

Place your original IC/PR card here


Follow the faith

I hereby consent and certify that the information given above is true and correct to
the best of my knowledge. I understand that a false statement may disqualify me for
Serve in humility
benefits. By signing below, I agree to register as a member of Atomy Malaysia Sdn.
Bhd.

Signature: Date:
test
Atomy Malaysia Sdn. Bhd. (1119724-A), Suite 18.1, Level 18 of Wisma Nusantara,
Jalan Puncak Off Jalan P. Ramlee, 50250 Kuala Lumpur, Malaysia.
Tel: +603 2718 8999 Fax: +603 2718 8988 website: www.atomy.com/my

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