TELUGU ASSOCIATION OF MALAYSIA
  MALAYSIA
TELUGU SANGGAMU
 
 
   
 
  Fan Club Registration Form
Telugu Association Of Malaysia (Malaysia Telugu Sangamu)
9-1A, Udarama Complex, Jalan 1/64A, Off Jalan Ipoh
53500 Kuala Lumpur, Malaysia
 
To : The Hon. General Secretary
Application For TAM Fan Club Membership
     
I hereby apply for fan club membership to Telugu Association of Malaysia. My personal particulars are as follows.
     
Full Name (SAME AS IC) :
Gender :
NRIC No : eg. 890825084511
Date Of Birth :
Occupation :
Home Address :
Tel. Home : eg. 03xxxxxxx
Tel. Office : eg. 03xxxxxxx
HP No. : eg. 012xxxxxxx
Email : * Please insert valid email, login info will be mail to you
Select Nearest Branch :
     
Anti - Spam verification :
     
By submitting this application form, I agree and declare that I am not mentally disabled; not a bankrupt; not been convicted of any offence punishable with imprisonment. Upon being admitted as member I shall bound by the existing Rules and Regulations of the Telugu Association Of Malaysia and any other ammentments.
     
 
 
 
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