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Nanyang Siang Pau
No. 1, Jalan SS 7/2,
47301 Petaling Jaya,
Selangor Darul Ehsan, Malaysia.
Tel: 03- 7872 6888 Fax: 03-7650 8685

照片
Photo

“南洋商报大专奖学金”
申请表格
"Nanyang Siang Pau Education Fund" Application Form

个人资料 PERSONAL PARTICULARS

姓名:
Name (as in IC/Passport):

(中):

出生日期:
Date of Birth:

年龄:
Age:

身份证号码(新)
IC Number (New):

种族:
Race:

性别:
Sex:

住址:
Home Address:

邮政编号
Post Code

电话:
Tel. No.:

联络地址 (如与以上的地址不同):
Correspondence Address (If different from home address):

电话:
Tel. No.:

家长/ 监护人资料 PARTICULARS OF PARENT/ GUARDIAN

父亲姓名:
Name of Father:

职业:
Occupation:

雇主及公司名称:
Name of Company & Employer:

每月收入:
Monthly Income:

电话:
Tel. No.:

母亲姓名:
Name of Mother:

职业:
Occupation:

雇主及公司名称:
Name of Company & Employer:

每月收入:
Monthly Income:

电话:
Tel. No.:

每月家庭总收入*:
Household Income Per Month*:

附加每月父母亲最新收入文件或 "J" Form
* To enclose parent's latest salary slip or Inland Revenue "J" Form

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