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Application for Membership

1 Name in Full
2 Address (Singapore)
3 Identity Card (IC) No
4 Age and Date of Birth
5 Sex
6 Occupation
7 Contact Number
Home
Mobile
Office
8 Email
9 I would like to contribute
$60 $100 $200 $500

(Minimum $60/Year is required for membership.
Any amount in excess of $60, a year, will be treated as donation.)

10 Mode of Payment
 

I would like to be a member of Malayalam Language Education Society (Singapore); I hereby agree to
abide by the rules and regulations of the Society.