Scouts Movement,

Sekolah Menengah Kebangsaan Datuk Haji Ahmad Said,

13800 Butterworth, Pulau Pinang.
Scouts Movement Membership Form
Section A: Personal Details
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2.
3.
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Name
:
Form
:
I/C No.
:
Age
:
Date of birth :
Address
:
Parents name :
Telephone No. :

Section B: Co-curricular Activities

Other society/club joined:

Society :
Club :

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I hereby declare that particular given above are true and i will abide by the
Scouts rules if i am accepted to be a member.
Signature: .......................................................................................................................
Date: ...............................................................................................................................

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