borang b8 - ppcb 2018borang permohonan pendaftaran cawangan baru 申 请 注 册 新 支 部 表 格...

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1. Nama Pengerusi 主席姓名: B8 Kepada : Setiausaha Organisasi Kebangsaan 全国組织秘书 BORANG / 表格 Ruj. Ibu Pejabat / 总部参考编号: ............................................. BORANG PERMOHONAN PENDAFTARAN CAWANGAN BARU 申 请 注 册 新 支 部 表 格 Ibu Pejabat Kebangsaan DAP Malaysia, Jalan Yew, Off Jalan Pudu, 55100 Kuala Lumpur. Tel : 03-9200 5000 Faks : 03-9200 7000 URL: www.dapmalayisa.org E-mel : [email protected] Nama Cawangan Penaja : 筹委支部名称 : ....................................................................................................................................................................................................................... BUTIRAN CAWANGAN PENAJA / 筹委支部资料 BORANG B8-CB/1-03 Borang PPCB - 01 Nama Kawasan Parlimen : 国会选区名称 : .................................................................................................................................................................................................................... Nama Kawasan Dewan Undangan Negeri : 州选区名称 : ........................................................................................................................................................................................ Nama Kawasan Daerah Mengundi : 投票站名称 : ...................................................................................................................................................................................................... SENARAI AHLI JAWATANKUASA CAWANGAN PENAJA / 支部筹委会名单 No. Tel: 电话号码 : - E-Mel : 电邮 : ..................................................................................................... No. K/P 身份证号码 : - - Pekerjaan: 职 业: ...................................................................................... Alamat / 地址:.................................................................................................................................................................................................... ......................................................................................................................................................................................................... 2. Nama Naib Pengerusi 副主席姓名: ...................................................................................................................................................................................................... No. Tel: 电话号码 : - E-Mel : 电邮 : ..................................................................................................... No. K/P 身份证号码 : - - Pekerjaan: 职 业: ...................................................................................... Alamat / 地址:.................................................................................................................................................................................................... 3. Nama Setiausaha 秘书姓名: ...................................................................................................................................................................................................... No. Tel: 电话号码 : - E-Mel : 电邮 : ..................................................................................................... No. K/P 身份证号码 : - - Pekerjaan: 职 业: ...................................................................................... Alamat / 地址:.................................................................................................................................................................................................... Poskod: 邮区编号 : Alamat Berdaftar / 注册地址: Alamat surat-menyurat / 通讯地址: Bandar 市镇 : Negeri 州屬: Poskod: 邮区编号 : Bandar 市镇 : Negeri 州屬:

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  • 1. Nama Pengerusi 主席姓名:

    B8Kepada 致: Setiausaha Organisasi Kebangsaan 全国組织秘书

    BORANG / 表格

    Ruj. Ibu Pejabat / 总部参考编号: .............................................

    BORANG PERMOHONAN PENDAFTARAN CAWANGAN BARU申 请 注 册 新 支 部 表 格

    Ibu Pejabat Kebangsaan DAP Malaysia, Jalan Yew, Off Jalan Pudu, 55100 Kuala Lumpur. Tel : 03-9200 5000 Faks : 03-9200 7000 URL: www.dapmalayisa.org E-mel : [email protected]

    Nama Cawangan Penaja : 筹委支部名称 : .......................................................................................................................................................................................................................

    BUTIRAN CAWANGAN PENAJA / 筹委支部资料

    BORANG B8-CB/1-03

    Borang PPCB - 01

    Nama Kawasan Parlimen : 国会选区名称 : ....................................................................................................................................................................................................................

    Nama Kawasan Dewan Undangan Negeri : 州选区名称 : ........................................................................................................................................................................................

    Nama Kawasan Daerah Mengundi : 投票站名称 : ......................................................................................................................................................................................................

    SENARAI AHLI JAWATANKUASA CAWANGAN PENAJA / 支部筹委会名单

    No. Tel:电话号码 : -

    E-Mel :电邮 : .....................................................................................................

    No. K/P 身份证号码 : - -

    Pekerjaan:职 业: ......................................................................................

    Alamat / 地址: ....................................................................................................................................................................................................

    .........................................................................................................................................................................................................

    2. Nama Naib Pengerusi 副主席姓名: ......................................................................................................................................................................................................

    No. Tel:电话号码 : -

    E-Mel :电邮 : .....................................................................................................

    No. K/P 身份证号码 : - -

    Pekerjaan:职 业: ......................................................................................

    Alamat / 地址: ....................................................................................................................................................................................................

    3. Nama Setiausaha 秘书姓名: ......................................................................................................................................................................................................

    No. Tel:电话号码 : -

    E-Mel :电邮 : .....................................................................................................

    No. K/P 身份证号码 : - -

    Pekerjaan:职 业: ......................................................................................

    Alamat / 地址: ....................................................................................................................................................................................................

    Poskod:邮区编号 :

    Alamat Berdaftar / 注册地址:

    Alamat surat-menyurat / 通讯地址:

    Bandar市镇 :Negeri州屬:

    Poskod:邮区编号 :Bandar

    市镇 :Negeri州屬:

  • - -Tarikh :日期 :

    No. Tel:电话号码 : -

    E-Mel :电邮 : .....................................................................................................

    5. Nama Bendahari 财政姓名:

    No. K/P 身份证号码 : - -

    Pekerjaan:职 业: ......................................................................................

    Alamat / 地址: ....................................................................................................................................................................................................

    .........................................................................................................................................................................................................

    6. Nama Ahli Jawatankuasa 委员姓名: ......................................................................................................................................................................................................

    No. Tel:电话号码 : -

    E-Mel :电邮 : .....................................................................................................

    No. K/P 身份证号码 : - -

    Pekerjaan:职 业: ......................................................................................

    Alamat / 地址: ....................................................................................................................................................................................................

    7. Nama Ahli Jawatankuasa 委员姓名: ......................................................................................................................................................................................................

    No. Tel:电话号码 : -

    E-Mel :电邮 : .....................................................................................................

    No. K/P 身份证号码 : - -

    Pekerjaan:职 业: ......................................................................................

    Alamat / 地址: ....................................................................................................................................................................................................

    8. Nama Ahli Jawatankuasa 委员姓名: ......................................................................................................................................................................................................

    No. Tel:电话号码 : -

    E-Mel :电邮 : .....................................................................................................

    No. K/P 身份证号码 : - -

    Pekerjaan:职 业: ......................................................................................

    Alamat / 地址: ....................................................................................................................................................................................................

    9. Nama Ahli Jawatankuasa 委员姓名: ......................................................................................................................................................................................................

    No. Tel:电话号码 : -

    E-Mel :电邮 : .....................................................................................................

    No. K/P 身份证号码 : - -

    Pekerjaan:职 业: ......................................................................................

    Alamat / 地址: ....................................................................................................................................................................................................

    Dengan segala hormatnya ingin dimaklumkan bahawa Jawatankuasa Negeri / Jawatankuasa Kerja Negeri telah meluluskan penubuhan cawangan baru yang tersebut di atas. Saya bagi pihak Jawatankuasa Negeri / Jawatankuasa Kerja Negeri juga mengesahkan bahawa setakat ini, cawangan baru berkenaan memenuhi kehendak-kehendak yang terkandung di bawah Fasal I, Perkara 4, 5, 6 dan 7 Buku Panduan Prosedur Pentadbiran dan Organisasi Parti.

    Yuran permohonan berjumlah RM20.00 dalam bentuk *tunai / kiriman wang /cek /bank draf No. ..............................disertakan bersama.

    启者,本州委员会/本州工委员会经於会议上批准以上新支部申请注册,我证实此筹备中之支部经已附合本党行政与组织手册第一章第四项,第五项,第六项与第七项之要求。

    兹附上*现金/邮政汇票/支票/ 银行汇票列号...........................................................作为RM20.00申请手续费。

    .................................................................................................Tandatangan Setiausaha Organisasi Negeri

    州組织秘书签名

    4. Nama Penolong S/U 副秘书姓名: ......................................................................................................................................................................................................

    No. Tel:电话号码 : -

    E-Mel :电邮 : .....................................................................................................

    No. K/P 身份证号码 : - -

    Pekerjaan:职 业: ......................................................................................

    Alamat / 地址: ....................................................................................................................................................................................................

  • SENARAI SEMAKAN DOKUMEN-DOKUMEN SOKONGAN YANG PERLU DISERTAKAN UNTUK PERMOHONAN PENDAFTARAN CAWANGAN BARU

    Nama Cawangan : .....................................................................................................................

    .....................................................................................................................

    Ditanda oleh

    Pemohon()

    UntukKegunaan

    Pejabat()

    1. Borang B8 ( Borang PPCB atau PPCB-PLC ) hendaklah ditandatangani oleh S/U OrganisasiNegeri dan dilengkapi dengan Cop S/U Organisasi Negeri atau Jawatankuasa Negeri

    2. Salinan Borang Permohonan Keahlian dilampirkan dengan :

    a. salinan fotostat Kad Pengenalan

    b. Yuran Keahlian : RM........................

    c. Surat Keluar Parti dari Parti lain (Jika ada)

    3. Salinan Borang Pertukaran Cawangan. (Jika ada)

    4. Yuran Permohonan RM20.00 (B8)

    5. Alamat Berdaftar dan Alamat surat-menyurat cawangan baru

    6. Jumlah Ahli Seumur Hidup : .......................................

    Jumlah Ahli Biasa : .......................................

    7. Yuran Keahlian : RM...................................................

    Disemak Oleh: ................................................................................

    Tandatangan :................................................................................

    Tarikh:........./........./20......

    Untuk Kegunaan Ibu Pejabat Kebangsaan:

    Dokumen Lengkap Tarikh Dokumen Diterima:

    Tidak LengkapSILA HUBUNGI: Nama Pegawai:

    No. Tel:

    Disah Oleh: .......................................................................................

    Tandatangan Pegawai .......................................................................................

    Text1: fill_2: fill_3: undefined_2: undefined_3: undefined_4: comb_1: Poskod: undefined_5: comb_4: Bandar: Negeri: comb_7: Poskod_2: undefined_6: comb_10: Bandar_2: Negeri_2: fill_7: comb_13: undefined_7: undefined_8: comb_16: undefined_9: fill_9: fill_8: fill_10: fill_11: comb_18: undefined_10: undefined_11: comb_21: undefined_12: fill_13: fill_12: fill_14: fill_15: comb_23: undefined_13: undefined_14: comb_26: undefined_15: fill_17: fill_16: fill_18: fill_1: comb_1_2: undefined_16: undefined_17: comb_4_2: undefined_18: fill_3_2: fill_2_2: fill_4: fill_5: comb_6: undefined_19: undefined_20: comb_9: undefined_21: fill_7_2: fill_6: fill_8_2: fill_9_2: comb_11: undefined_22: undefined_23: comb_14: undefined_24: fill_11_2: fill_10_2: fill_12_2: fill_13_2: comb_16_2: undefined_25: undefined_26: comb_19: undefined_27: fill_15_2: fill_14_2: fill_16_2: fill_17_2: comb_21_2: undefined_28: undefined_29: comb_24: undefined_30: fill_19: fill_18_2: fill_20: fill_21: comb_26_2: undefined_31: undefined_32: comb_29: undefined_33: fill_23: fill_22: fill_24: Tarikh: undefined_34: undefined_35: Nama Cawangan 1: Nama Cawangan 2: Check Box3: OffCheck Box4: OffCheck Box5: OffCheck Box6: OffCheck Box7: OffCheck Box8: OffCheck Box9: OffCheck Box10: OffCheck BoX11: OffCheck Box12: OffCheck Box13: OffCheck Box14: OffCheck Box15: OffJumlah Ahli Seumur Hidup: undefined_38: Check Box16: OffCheck Box17: OffYuran Keahlian RM: Check Box18: OffCheck Box19: Off1: Text4: Text5: Text6: Dokumen Lengkap: Tarikh Dokumen Diterima: undefined_52: 1_2: 2_2: