BORANG PERMOHONAN

KEAHLIAN PERSATUAN PEGAWAI-PEGAWAI KERAJAAN SABAH (SAGOA)
 
 

SCHEDULE II

( ATRICLE 11 (1) )

MEMBERSHIP FORM

[Photograph of Applicant]

Application for : Pinoneer/Ordinary/Associate Member

(Delete whichever is not applicate)
 
 

PARTICULARS OF APPLICANT

  1. Name : Tan Sri/Datu/Dr/Mr/Mdm/Ms


    2. (Delete Whichever is not applicable)

    _______________________________________________________________
     
     

  2. NRIC No:


    3. _______________________________________________________________
     
     

  3. Date Of Birth:


    4. _______________________________________________________________

  4. Place of Birth :


    5. _______________________________________________________________

  5. Age :


    6. _______________________________________________________________

  6. Academic qualification:


    7. _______________________________________________________________

  7. Name of Present position :


    8. _______________________________________________________________
     
     
     
     

  8. Date of appointment to present position :


    9. _______________________________________________________________

  9. Name and address of office (including telephone number) :


    10. _______________________________________________________________
     
     

  10. Date of first appointment by the State Public Service Commission:


    11. _______________________________________________________________

  11. Marital status : Married/ Single/ other


    12. (Delete whichever not applicable)

  12. Name of any other Association or Club of which you are a member :
_______________________________________________________________
 
 

FOR OFFICIAL USE ONLY
  1. Date application received:


    2. _______________________________________________________________

  2. Decision Executive Committee :


    3. _______________________________________________________________

  3. Membership for which application is approved :


    4. Pinoneer/Life/Ordinary/Associate

    (Delete whichever is not applicate)

  4. Entrance fee paid on:
Cash:

Cheque number:

 5. First subscription fee paid on: Cash:

Cheque number:
  1. Membership number:
_______________________________________________________________
 
 
MAKLUMAT

Kelayakan :

Keahlian Persatuan Pegawai-Pegawai Kerajaan Sabah terbuka kepada Kumpulan Pengurusan dan Profesional di dalam Perkhidmatan Awam Negeri, Majlis Tempatan dan Badan Berkanun Negeri di Sabah.

Jenis Keahlian dan Yuran :

  1. Ahli Pioneer - ditutup
2. Ahli Biasa - Yuran Masuk : RM 30.00 Yuran Tahunan : RM 20.00 Pengembalian Borang :

Borang permohonan yang telah diisi bolehlah dihantar kepada alamat dan E-mail seperti berikut :

Puan Maznah Ghani
Pengerusi
Jawatankuasa Kerja Keahlian, SAGOA

Alamat Perhubungan :
Kementerian Pembangunan Infrastruktur
Tingkat 7, Bangunan JKR, Jalan Sembulan, Beg Berkunci 2036
88999 Kota Kinabalu
Tel : 088- 255999 Fax : 088-239852

E-mail :
Tsut.mcw@sabah.gov.my
u.p Puan Maznah Ghani

atau

Pa.tsut.mcw@sabah.gov.my
u.p Puan Dg. Masurai

atau

pt.b.upen@sabah.gov.my
u.p Cik Chee Shok Ting