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Any photo 
will do here! 

Yes I wanna JOIN!!!

A. PERSONAL DETAILS
Name as stated in the I.C (in capital letters):

Name to be appeared in the name tag (maximum 12 characteristics): Gender:


(we do not mind if you put Cutiepie, Lengzai etc)
Age :
I.C. no. : Race: Religion:

Correspondance address:

Contact no.: E-mail address:

B. EMERGENCY CONTACTS
Name of guardian: Relationship: Contact no.:

Address:

C. ADDITIONAL INFORMATION
Are you allergic to anything?:

Types of allergy:

Are you vegetarian or not?:

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

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