表格

马来西亚佛教青年总会附属会员入会表格YBAM Associate Membership Application Form
请输入完整的个人资料，并在确保资料无误之后，于此表格下方按 “提交”。

Please complete and submit this application form. Please write clearly and complete all applicable areas on the application.
姓名 Name*

中文

English

城市State / Province

邮编
性别 Gender *
婚姻状况 Marital Status
身份证号码 Identity Card Number*
出生日期 Date of Birth*

日 DD月 MM年 YYYY
教育程度 Education Level
职业 Occupation
联络住址 Correspondence Address*
联络号码 Contact Number 1*

Area CodePhone Number
联络号码 Contact Number 2

Area CodePhone Number
电邮 E-mail*
联络您的方式 Your preferred method of contact*

电话 Telephone电邮 Email
专长/兴趣 Expertise/Interests (可复选 Multiple selection is allowed )*

主持 Hosting写作 Writing表演 Performance摄影 Photography歌唱 Singing团康 Group Activity领导 Leadership辅导 Counselling其他 Others
请注明“其他” If ‘Others’, please specify*
学佛资历 Years of practising Buddhism
是否参与任何佛教团体？ Are you affiliated with any Buddhist Organisation？*

是 Yes否 No
若“是”请注明什么团体? If ‘Yes’, please indicate the organisation name*
欲成为附属会员的原因 Reason for applying for associate membership*
活动资讯语文 News and activities language*
本人希望收到以上语文之佛青活动资讯 I would like to receive YBAM activities and news in above selected language
本人已缴付相关入会费及年费，一共___ I have already paid an entrance fee/annual subscription, total___*

RM 20 （年费 Annual subscription）RM 10 + RM 20 （入会费+年费 Entrance fee+Annual subscription）其他 Others
请注明缴付多少及几年的年费? How much and how many years?*
随此申请表格，附上入会费/年费收据 Enclosed herewith a receipt as the payment of entrance fee/annual subscription*

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请附上近照（护照尺寸） Please upload a recent photo (passport size)*

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本人确认申请表格内所提供之一切资料属实且完整无误，并愿意将资料供马佛青附属会员审查委员作审核。如本人被接受为附属会员，本人愿意遵守马佛青有关的条规。

I confirm that all the information provided is complete and truthful, and acknowledge that information provided will be verified by YBAM Associate Membership Application Committee. If I am accepted as an Associate Member, I agree to abide by the rules and regulations of YBAM.

供秘书处使用 FOR OFFICE USE

STATUS
入会日期 Date of Commencement of Membership:
会员号码 Membership No:

供秘书处使用 FOR OFFICE USE
Status Membership
批准/不批准于全国理事会会议 Approved/Rejected during
会员号码Membership No:
入会日期 Date of Commencement
Should be Empty:

马来西亚佛教青年总会附属会员入会表格YBAM Associate Membership Application Form

请输入完整的个人资料，并在确保资料无误之后，于此表格下方按 “提交”。