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  • Privilege Card Renewal Form: For Administration Purposes

    Uploaded by

    Shahnaz Shahizan
    30 views1 page
    This privilege card renewal form collects personal information such as name, member number, address, email, phone number, ID number, date of birth, occupation, interests, and signature from the applicant. The applicant is asked to provide their existing information to renew their privilege card as well as any changes to their contact details or personal information.

    Original Description:

    Original Title

    BookXcess Renewal Form

    Copyright

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    This privilege card renewal form collects personal information such as name, member number, address, email, phone number, ID number, date of birth, occupation, interests, and signature from the applicant. The applicant is asked to provide their existing information to renew their privilege card as well as any changes to their contact details or personal information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    30 views1 page

    Privilege Card Renewal Form: For Administration Purposes

    Uploaded by

    Shahnaz Shahizan
    This privilege card renewal form collects personal information such as name, member number, address, email, phone number, ID number, date of birth, occupation, interests, and signature from the applicant. The applicant is asked to provide their existing information to renew their privilege card as well as any changes to their contact details or personal information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Privilege Card Renewal Form

    Name as on Card

    : ____________________________________________________________________________

    Existing Member No. : ____________________________


    Change of Address

    E-mail : _____________________________________

    : ____________________________________________________________________________
    ___________________________________

    New IC No. / Passport No.

    : ____________________________

    Date of Birth

    : __________________________________

    Occupation

    :(

    Interest

    State

    : ______________________________

    Mobile : ______________________________
    Gender : M / F

    ) Professional

    ) Business Owner (

    ) Media

    ) Student

    ) Administration

    ) Homemaker

    ) Teacher/Lecturer/Academician

    ) Others

    :(

    ) Fiction

    ) Non-Fiction

    ) Children

    For Administration Purposes


    Date:

    Signature of Applicant

    Staff:
    ____________________

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