SARAWAK TEACHERS’ UNION

Wisma STU, Lot 10966, Jalan Song, 93350 Kuching

Tel: 082-575120 Mobile No.: 012-2111965 Fax: 082-574120 Website: www.stu.org.my

Membership Application Form

Name STANLEY ANAK DAVID APAT
New IC No. 88030-152-6363 Date of Birth 1 MARCH 1988 Stick Your
Passport Size
Gender MALE Religion CHRISTIAN Colour Photo
Race SEA DAYAK (IBAN) Marital Status SINGLE Here
Major Option ENGLISH

Postal Address
NO 46. JALAN MERBONG. 95800. ENGKILILI. SARAWAK
Mobile Phone No. 014-6559550 Email g-63315201@moe-dl.edu.my

School / Office SEKOLAH MENENGAH KEBANGSAAN SAINT LUKE

School Phone No. 083-322089

Personal File No. P.60257 Salary No (No Gaji) 00040844

Pay Centre CIMB SRI AMAN Grade DG41
Introduced by GOMEZ ANAK DAVID APAT Introducer’s ID
Declaration
The information given by me is true and correct. I agree to:
(a) authorise Sarawak Teachers' Union to deduct from my payroll via BPA
/ RM5.00 monthly as Union’s Subscription Fee
/ RM5.30 monthly to enroll STU MUI PA insurance
(b) observe all Rules and Regulations of Sarawak Teachers' Union and will play an active role in all of its activities.
(c) keep the Union informed immediately of any changes to my employment status and personal particulars that
affect my membership status and benefits
(d) I hereby declare all that the information given above is correct to the best of my knowledge and will abide by
the rules and constitution of Sarawak Teachers’ Union. I enclose herewith :
A certified true copy of my latest salary slip A certified true copy of my NRIC
2 passport size photographs Completed Angkasa Form
Photocopy of bank book (first Page) as stated in the salary slip
RM2.00 Entrance Fee- (Public Bank 3080 7428 26), Please attach your transaction slip together with your
/
membership form.

Signature of Applicant ______________________________ Date ____________________

For Office Use Only
Date Join Union Membership No.
Official Receipt No. Application Received On
Application Checked On Membership Card Issued On

Authorised Signature _______________________________

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A P A T

8 8 0 3 0 1 5 2 6 3 6 3

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SEKOLAH MENENGAH KEBANGSAAN SAINT LUKE. JALAN MUNGGU SABUN, 95000

SRI AMAN. SARAWAK

014-6559550 CIMB/7057790893 GURU AKADEMIK/DG41

SL507
RM 5
SARAWAK TEACHERS’ UNION

Introducer