SEKRETRIAT RAKAN MUDA SEKRETRIAT RAKAN MUDA

SRM UNiKL MIMET SRM UNiKL MIMET

MEMBERSHIP FORM MEMBERSHIP FORM

NAME: NAME:

SEMESTER : COURSE : SEMESTER : COURSE :

ID NUMBER : IC NUMBER : ID NUMBER : IC NUMBER :

PHONE NO. : EMAIL : PHONE NO. : EMAIL :

EXPERIENCE EXPERIENCE
/ CO- / CO-
CURRICULAR CURRICULAR
ACTIVITY ACTIVITY

SIGNATURE : PAID : SIGNATURE : PAID :

NOTE; NOTE;