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All Malayan Estates Staff Union

Step 1

ALL MALAYAN ESTATES STAFF UNION

KESATUAN KAKITANGAN LADANG-LADANG SELURUH TANAH MELAYU

PO.BOX 12,46700 PETALING JAYA,SELANGOR DARUL EHSAN

TEL:603-8024 9533 FAX: 603-8024 7822

APPLICATION FOR MEMBERSHIP

Nama/ Name *

Email *

Tarikh Lahir
Date of Birth *

HH/BB/TT
DD/MM/YY

KP
NRIC *

Jawatan/ Occupation

Clerical

Technical

Hosp.Asst

NCS

Pangkat / Grade

Gaji Pokok
Basic Salary RM*

Berapa tahun dlm perkhidmatan
Total No.Years in Service

Taraf/Perkahwinan:Kahwin/bujang Marital Status:

Married Single

Berapa tahun dgn Sykt.sekarang
No.of Years in present company

Untuk masuk semula sbg.ahli
For those rejoining the union

Tarikh Masuk
Date Joined *

BB/TT
MM/YY

No.Keahlian Lama
Old M/ship No

Alamat Rumah
Residential Address *

Pos Kod /Post Code *

Pekan/Town*

Nama/Alamat Estet
Estate Name/Address

Pos Kod /Post Code

Pekan/Town

Nama Syarikat/ Agen / Subsidari// Name of company/ Agent / Subsidiary

-Pekan/Bandar,Alamat
Town/City,Address

Saya

No.KP

ingin memohon untuk menjadi Ahil dalam

KESATUAN KAKITANGAN LADANG-LADANG SELURUH TANAH MELAYU dan kalau diterima,sesungguhnya Saya akan mematuhi Undang-Undang dan Perlembagaan.dan apa- apa keputusan diambil selepes ini oleh TGM.

Saya membenarkan majikan untuk membuat potongan yuran bulanan dari gaji dan mengirimkan ke- AMESU.

NRIC

wish to apply membership of the

ALL MALAYAN ESTATES STAFF UNION and, if accepted I solemnly abide by it's RULES & CONSTITUTION and any decision of the Triennial General Meeting.I ,authorise the Employer to do monthly deduction from my Salary and forward it to AMESU.

T/Tgn Nama

Tarikh:

Sila tandakan dikotak

Please tick your Region

Northern Region

N.Sembilan Region

North Johor

Central Perak Region

North Pahang Region

South Johor

North Selangor Region

Malacca Corridor

North-East Region

UNTUK URUSAN PEJABAT SAHAJA

FOR OFFICE USE ONLY

No AHLI (M/ship No):

KAWASAN ( Region ) :

Recruited by

Signature

Data Recived:

Staff's name and initial:

Date Keyed

Staff's name and inital:

Implementation date(billing):

Thru' Co-op:

yes no

UNION

RDBS

GELA 36C1

H & S

Hon.General Secretary

All Malayan Estates Staff Union

Dated:

APPROVED BY EXECUTIVE COUNCIL

MEETING HELD ON:

(*) Mandatory