Professional Documents
Culture Documents
Form L
Form L
: This notice should be sent in quadruplicate to the Director/ Assistant Director of the area in
which the head office of the registered trade union or the branch union, as the case may be, is
situated by the secretary of the trade union within fourteen days after the change of officers or of
the title of officers.
FORM L
Notice is hereby given that the following changes of officers have taken place in the above named
union/ branch * :
Title of Office Name N.R. Identification Date of Birth Home Address Occupation Federal Citizen Date of
Card No. Certificate No. + Assuming
Office
CHAIRMAN MUHAMMAD MAHDZAN 810117-13-5705 17/07/1981 SK(A) MAJLIS ISLAM TEACHER MALAYSIAN 4TH MAY
BIN HAJI MOHTAR SARAWAK MUKAH 2023
VICE FARIDAWATI BINTI HAJI 700603-13-6458 03/06/1970 SMK MUKAH, MUKAH TEACHER MALAYSIAN 4TH MAY
CHAIRMAN SIDIK 2023
SECRETARY ONESIFORUS BIN MEJIT 891230-13-5317 30/12/1989 SK NANGA SIKAT, MUKAH TEACHER MALAYSIAN 4TH MAY
2023
ASSISTANT MOHD NUR HIFZHAN BIN 960614-13-5187 14/06/1996 SK KUALA KENYANA, TEACHER MALAYSIAN 4TH MAY
SECRETARY NOORDAN MUKAH 2023
TREASURER NADZIRAH BINTI SAIMI 950827-13-5186 27/08/1995 SK(A) MAJLIS ISLAM TEACHER MALAYSIAN 4TH MAY
SARAWAK MUKAH 2023
ASSISTANT JESSIE CHUA KIM YAN 700611-13-5236 11/06/1970 SMK THREE RIVERS, TEACHER MALAYSIAN 4TH MAY
TREASURER MUKAH 2023
COMMITTEE SERINA BINTI AMIT 800408-13-5546 08/04/1980 SK KAMPUNG JEBUNGAN, TEACHER MALAYSIAN 4TH MAY
MEMBER MUKAH 2023
(MUKAH
LIASON)
COMMITTEE NORFAZERA BINTI 940811-13-6762 11/08/1994 SMK AGAMA IGAN, DALAT TEACHER MALAYSIAN 4TH MAY
MEMBER EFENDI 2023
(DALAT
LIASON)
COMMITTEE NGO CHIEW KIANG 931012-13-6462 12/10/1993 SK HIJRAH BADONG, TEACHER MALAYSIAN 4TH MAY
MEMBER DARO 2023
(DARO
LIASON)
We hereby declare that to the best of our knowledge and belief the officers assuming office above have been employed in or engaged in the
establishment, occupation, trade or industry which this union represents for a period of one year and have not been previously convicted in any court.
We declare that these officers are entitled to hold office under Section 28 of the Trade Unions Act 1959.
President …………………………
Treasurer …………………………
Title Of Office Name N.R. Identification Date of Birth Home Address Occupation Federal Citizen Date of
Card No. Certificate No. + Assuming
Office