com
arc.council.my@gmail.com
tm&umefdk[if*smaumifpDHk;cef;ESifh pufud&d,mrsm;toHk;jyKrI
tcaMu;aiGESifh pnf;urf;owfrSwfcsufrsm;
trSwfpOf/ / 2013021208
tajccHpnf;rsOf;rJqEcH,lyGJESifh
umefdk[if*smaumifpDHk;
&efyHkaiG&&Sda&;twGuf
Mum;jzwfa&G;aumufyGJtcrf;tem;rS
tm&umefdk[if*smaumifpDHk;toHk;jyKrI
tm&
tcaMu;
Description
azmfjycsuf
Member
toif;0if
toif;0ifr[kwf
-- Reception
tauR;tarG;tpDtpOf
RM 400.00
RM 500.00
RM 300.00
RM 200.00
Sound System
toHcsJYpuf
RM 50.00
RM 100.00
RM 300.00
pOf
1
Non-Member
Deposit
24 Hours
24 em&D
Remark
rSwfcsuf
Exclusion of 12 a.m to 6 a.m
n 12 em&DrS reuf 6
em&Dtxd toHk;jyKcGifhr&Sd
RM 400.00
12 Hours
12 em&D
RM 300.00
12 Hours
12 em&D
RM 100.00
RM 150.00
RM 400.00
"gwfyHk(yHk-30)ESifh AGD'D,dk
7
Duration
cGifhjyKtcsdef
RM 200.00
RM 300.00
p&ef
6 Hours
6 em&D
n 12 em&DrS reuf 6
3 Hours
3 em&D
3 Hours
3 em&D
---
em&Dtxd toHk;jyKcGifhr&Sd
toHk;jyKcGifhr&Sd
Applicant must fill Application for the Use of ARC Office form correctly and submit to the office at least before
FOURTEEN days.
avQufxm;olonf att&fpD&Hk;toHk;jyKcGifhavQmufvTmudk rSefuefpGmjznfhpGufNyD; tenf;qHk; (14) &ufBudKwif
att&f&Hk;odkY avQmufxm;&rnf/
Applicant must pay the amounts of deposit and service charges according to the packages upon receiving of the approval.
avQmufxm;olonf p&efaiGESifh 0efaqmifcrsm;udk cGifhjyKcsuf&,lonfhtcsdefwGif tNyD;ay;aqmif&rnf/
Applicant must accept and follow according to the terms and conditions stated on the attached documents together with the
application form.
avQmufxm;olonf att&fpD&Hk;toHk;jyKcGifhavQmufvTmwGif yl;wGJazmfjyxm;aom pnf;urf;owfrSwfcsuf rsm;ESifh
tcsuftvufrsm;udk vufcHoabmwlNyD; if;twdkif;vdkufem&rnf/
No.:8, Jalan 28, Kampung Cheras Baru, 56100 Kuala Lumpur, Malaysia.
http://arakanrohingyacouncil.blogspot.com
arc.council.my@gmail.com
Sex
vdif
Male
usm;
Fathers name
tztrnf
Age
touf
Female
r
Current address
vufSdae&yfvdyfpm
Permanent address
tNrJwrf;ae&yfvdyfpm
Contact No.
E-mail
FAX No.
qufoG,f&efzkef;eHygwf
UNHCR ref#
UNHCR eHygwf
Passport No.
ygpfyk'feHygwf
att&fpDrSwfyHkwiftrSwf
National ID No.
trsKd;om;rSwfyHkwiftrSwf
From
D D M M Y Y Y Y
From
tcsdef
To
aeYrS D D M M Y Y Y Y
aeYtxd
a.m / p.m To
em&DrS
Estimated attendees
wufa&mufrnfhvlOD;a&
a.m/ p.m
em&Dxd
I hereby declare, after thoroughly reading and understanding, that I agree with all the terms and conditions stated on the attached
document together with the application form, on my own free-will.
att&fpD&Hk;toHk;jyKcGifhavQmufvTmwGif
wGJvsufazmfjyxm;aom
pnf;urf;owfrSwfcsufrsm;ESifh
tcsuftvufrsm;tm;vHk;udk
zwfI
Approved
cGifhjyKonf
Not Approved
cGifhrjyK
Signature of Grantor
tmrcHay;ol\vufrSwf
rIrsm;udk 0dkif;ay;yg/
Name of Grantor
tmrcHay;oltrnf
Grantors Contact No.
qufoG,f&efzkef;eHygwf
1
Date
aeYpGJ
6
Applicants Signature
avQmufxm;ol\vufrSwf
No.:8, Jalan 28, Kampung Cheras Baru, 56100 Kuala Lumpur, Malaysia.
http://arakanrohingyacouncil.blogspot.com
arc.council.my@gmail.com
2013021206
ckESpf?
aumifpDHk;csKyfwGif
azazmf0g&Dv?
12&ufaeY?
usif;yjyKvkyfaom
aumufyGJtcrf;tem;rS
atmufazmfjyyg
tm&umef&dk[if*sm
tajccHpnf;rsOf;rJqEcH,lyGJESifhMum;
tm&umefdk[if*smaumifpDHk;
pnf;urf;owfrSwfcsufrsm;udk
toHk;jyKrIESifh
trsm;oabmwl
jzwfa&G;
ywfouf
owfrSwfjyXmef;
vdkufonf/
1)
2)
Hk;vkyfief;rsm;ESifh
wpfpHkwpfOD;utoHk;jyKvdkygu
aS;vkyfief;pOfrsm;rSty
tm&umefdk[if*smaumifpDHk;rS
wjcm;udp&yf
OD;pGmcGifhjyK
rsm;twGuf
csuf&,l&rnf
(pmjzifh&,l&rnf)/
3)
4)
Hk;cef;ESifh
y&d0kPftwGif;
t,Sufjzpfaponfhtxd
aw;*Dwwl&d,mrsm;udk
toHus,favmifpGm
wD;rIwfjcif;?
tdrfeD;em;csif;rsm;tm;
atmf[pfpGm
taESmuf
aw;oDcsif;qdkjcif;
6)
7)
8)
9)
Hk;cef;twGif;
bmoma&;rIef;wD;rIrsm;?
*dkPf;*PpGJ
w,loefajymqdkjcif;rsm;?
yk*dKvfa&;
aq;vdyfaomufjcif;?
uGrf;wHawG;axG;jcif;ESifh
us,favmifqlnHpGm
zkef;p
um;ajymjcif;rsm; rjyKvkyf&/
12) Hk;cef;twGif;&Sd y&dabm*rsm;ESifh vQyfppfpufud&d,mrsm;udk zsufpD;jcif;rjyKvkyf&/
13) Hk;cef;twGif; noef;aumifcsdeftxd vltrsm;pka0;jcif;? csufjyKyfjcif;? qlqlnHnHvkyfjcif;
ESifh0dkif;zGJY tmvmyovmy pum;rsm;xdkifajymjcif; rjyKvkyf&/
14) Hk;cef;twGif;
Hk;vkyfief;udprsm;
vkyfudkif&eftwGuf
a&muf&Sdvmjcif;r[kwfbJ
wnf;cdk
tdyfpufjcif; rjyKvkyf&/
15) tu,fc&D;oGm; 'kua&mufaeolrsm; wnf;cdktdyfpufvdkygu tm&umefdk[if*sm aumifpD
Hk;rS OD;pGmcGifhjyKcsuf &,l&rnf/
16) Hk;a&Shvrf;wGif ,mOfaMumydwf ,mOf&yfem;jcif; rjyKvkyf&/
17) pnf;urf;rJh trdIufypfjcif; rjyKvkyf&/
18) Hk;y&d0kPftwGif; uRJ? EGm;rsm; vSD;jzwfjcif; rjyKvkyf&/
txufazmfjyyg
pnf;urf;owfrSwfcsufrsm;udk
A[dktvkyftrIaqmifaumfrwD
tu,f
txufazmfjyyg
pnf;urf;owfrSwfcsufrsm;udk
vdkufemrIr&SdbJcsdK;
yHk^
em,utzGJY
tm&umef dk[if*smaumifpD
12&uf? azazmf0g&Dv? 2013ckESpf
No.:8, Jalan 28, Kampung Cheras Baru, 56100 Kuala Lumpur, Malaysia.
http://arakanrohingyacouncil.blogspot.com
arc.council.my@gmail.com
tm&umef
&dk[if*smaumifpD\
udp&yfrsm;twGuf
urf;owfrSwfcsufrsm;
b@maiG&&Sda&;udk&nf;pl;
azmfjyygEIef;xm;rsm;jzifh
twdkif;aumufcH&ef
oabmwl
if;wdkYESifhwGJzuf
atmufwGifazmf
azmfjyxm;onfhpnf;
qHk;jzwfowfrSwfvdkufaMumif;
trsm;od
pOf
t aM
u mif;t &m
EIef;x m;
rS
w fcsu f
RM SEN
1 t o i f;^t zG
JY0i faM
u ; ^ rS
w fyH
kwi faM
u;
25 00 t o i f;0i fo n fh
aeYay;aq mif&ef
2 o p
mcH
aM
u ; (e, u t zG
JY
0i f)
300 00 t a&G
;cH
&o n fh
aeYay;aq mif&ef
3 o p
mcH
aM
u ; (n T
efM
u m;a&; t zG
Y
J0i f)
300 00 t a&G
;cH
&o n fh
aeYay;aq mif&ef
4 o p
mcH
aM
u ; (t v kyft r Iaq mift zG
Y
J0i f)
100 00 t a&G
;cH
&o n fh
aeY
ay;aq mif&ef
5 v pOfaM
u ; (e, u t zY
G
J0i f)
6 v pOfaM
u ; (n T
efM
u m;a&; t zG
JY
0i f)
7 v pOfaM
u ; (t v kyft r Iaq mift zG
JY
0i f)
20 00 v pOf(10)&u faeY
aemu fq H
k;x m;ay;aq mif&ef
8 v pOfaM
u ; (t zG
Y
J0i f)
20 00 v pOf(10)&u faeY
aemu fq H
k;x m;ay;aq mif&ef
9 pmM
u n fh
wd
ku f?u G
efysLwmES
i fht i fwmeu f
(r S
w fyH
kw i faM
u ;)
50 00 r S
w fyH
kw i fo n fh
aeYay;aq mif&ef
10 u k&ft mefES
ih
ft m&AD
o i fw ef; v pOfaM
u;
30 00 v pOf(10)&u faeY
aemu fq H
k;x m;ay;aq mif&ef
11 t *F
vd
yfpmo i fw ef; v pOfaM
u;
30 00 v pOf(10)&u faeY
aemu fq H
k;x m;ay;aq mif&ef
12 u G
efysLwmES
i fh
t i fw meu fo i fw ef; v pOfaM
u;
30 00 v pOf(10)&u faeY
aemu fq H
k;x m;ay;aq mif&ef
13 r S
w fyH
kw i faysmu fq H
k; ysu fpD
;jci f;
20 00 jyefav Q
mu fo n fh
aeYay;aq mif&ef
Supreme Council
Executive Council
em,utzGJY
tvkyftrIaqmiftzGJY
No.:8, Jalan 28, Kampung Cheras Baru, 56100 Kuala Lumpur, Malaysia.