Any photo
will do here!
A. PERSONAL DETAILS
Name as stated in the I.C (in capital letters):
Correspondance address:
B. EMERGENCY CONTACTS
Name of guardian: Relationship: Contact no.:
Address:
C. ADDITIONAL INFORMATION
Are you allergic to anything?:
Types of allergy:
Please Bank in to CIMB account 1215- 0086050-52-5 (WONG SOON KIT) and retain the slip
Please Bank in by 1 week latest after you have sent in your application form.
Further Information please contact:
aiesechope2008@gmail.com or visit www.hope-aiesecupm.blogspot.com for more updates!!!!
Rue-Hann (0176286468) aiesec.ruehann@gmail.com
Maha (0172529430) aiesec.maha@gmail.com
Mohd. Hazwan Hashim (0179381160) aiesec.hazwan@gmail.com