PERSATUAN PENDUDUK BANDAR PUTERI

PUCHONG 12, SELANGOR (0179-08-SEL)

No. 1, Jalan Puteri 12/2, Bandar Puteri Puchong,
47100 Puchong, Selangor.

MEMBERSHIP APPLICATION FORM

I hereby apply to become a member of the association and agree to abide by its constitution, terms and conditions.
USE BLOCK LETTERS
1. Full Name: Mr/Mrs/Miss/Dr 2. IC Number:

3. Date of Birth: 4. Occupation & Profession: 5. Number of

Persons in
/ / 19 Household:

6. Race: 7. Religion:

8. House Address: No Jln Puteri 12/ 9. Tel No:

Bandar Puteri Puchong HP No:
47100 Puchong Selangor Email:
10. Office Address: 11. Tel No:
Email:

12. Hobbies & Other Interests:

13. Are you connected to the Internet? YES / NO 14. How frequent you use it
a week?
15. I am willing to be a volunteer and offer my services and time for:
___________Security & Safety _________Children recreation & activities _________Sports & recreation
______Public Relations & Communication _______Amenities & Utilities _______Entertainment & Events
Please mark Yes/No or just tick
16. Motor Vehicle Qty & Type:

17. Model & Number:

Note :
1. The association's secretary shall receive your application form and payment either by hand or mail.
2. Payment via cheque / money-order must be crossed a/c payee and payable to the association. PERSATUAN
PENDUDUK BANDAR PUTERI PUCHONG 12, SELANGOR.
3. Receipts will be issued for all payments.
4. The constitution is available from the Secretary at RM 1.00 per copy.

Payment Enclosed (Cheque /Cash /M.O): RM………………only. Chq # …………………………..

(Information on the fees is accessible on the membership terms and conditions)

Applicant’s Signature: ____________________________________ Date: _____/ _____/ 20

For office use only :
1. Membership approved on: 2. Membership No. :
3. Total sum received: RM 4. Forward payment of : RM
5. Office Receipt NO, & Date :
MEMBERSHIP APPLICATION FORM: Treasurer:__________________ Secretary:_________________

Approved: Chairman/Committee: _______________________________ Date: _____/_____/20

Attached with this application form is the membership terms and conditions. Please read it. To
avoid any delays, all 17 information are required. Do not mail any CASH with this application form.
If application is rejected, the fees will be refunded in full.
PERSATUAN PENDUDUK BANDAR PUTERI PUCHONG 12,
SELANGOR (0179-08-SEL)

Service Resident Membership Terms & Conditions

Definitions

PPBP12 Known as Persatuan Penduduk Bandar Puteri 12 Puchong, Selangor.

Member Each house with a standard address located under the area of Puteri 12 of
Bandar Puteri Puchong, 47100 Selangor, represents as a member
regardless of how many people residing in the house. The registered person
of the house is considered as the Resident Member of a particular address.

Service Resident Full membership rights with additional security services.

Member

General Conditions

By becoming a Service Resident Member of PPBP12, you are accepting and agreeing to these Terms
and Conditions. PPBP12 reserves the right to amend or terminate these Terms and Conditions at
any time without prior notice. You will be informed if there are any amendments to these Terms and
Conditions.

Business Address & Correspondence

PPBP12 registered place of business is at;

No. 1, Jalan Puteri 12/2, Bandar Puteri Puchong, 47100 Puchong, Selangor.

All correspondences and communications in regards to your membership are to be address to;
The Secretary
No. 33, Jalan Puteri 12/21, Bandar Puteri Puchong, 47100 Puchong, Selangor.
Contact Number: 013-2249176
E-mail: eddskading@hotmail.com

Conditions of Service Resident Membership

Service Resident Membership of PPBP12 is open to all Malaysian citizens residing in the area of
Bandar Puteri Puchong 12, 47100 Selangor who are above the age of 18 years, in favor of the objects
and willing to abide by the registered rules of PPBP12 and the performance of any obligations you
may have under these Terms and Conditions at the time of registering as a Service Resident Member.
Only one account may be maintained per person representing a house address.

Every application for Service Resident membership shall be proposed and seconded by two existing
Service Resident Members and shall be forwarded to the Secretary who shall at the first convenient
opportunity submit it to the Principle Committee members for approval. The Principle Committee
members may at its discretion reject any application without assigning any reason thereon.

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Every applicant whose application has been approved as foresaid shall, upon payment of the
prescribed entrance and subscription fees (in part or in full), be admitted as a Service Resident
Member of PPBP12 and shall be entitled to all the privileges of membership.

Entrance Fees, Subscription & Other Dues

1. The one-time entrance fee for a new Service Resident Member is RM10.00.
2. Yearly (12 months) subscription and security services fees for a Service Resident Member is
RM600.00.

Term of payments is in advance and could either be paid by monthly payment of RM50.00, quarterly
payment of RM150.00 or in-full, RM600.00.

Payment made by monthly or quarterly shall be payable to the Treasurer or any collection officers
th
appointed by the Principle Committee members, in advance and before the 9 day of each calendar
month or the each quarterly calendar month.

Any Service Resident Member who allows his/her arrears to exceed two months shall receive a
written notification signed by or on behalf of the Secretary, and shall be denied privileges of
membership until he/she settles the dues.

Any Service Resident Member who allows his/her arrears to exceed five months shall automatically
cease to be a member of PPBP12 and the Principle Committee members may direct that legal action
be taken against him/her to resolve the arrears.

The Principle Committee members shall have the discretion to re-admit defaulters or waive any fees
that they deemed fit.

Resignation or Removal

Any Service Resident Member who wishes to resign from PPBP12 shall give two weeks’ notice in
writing to the Secretary and shall pay up all dues. The committee has the rights to suspend or remove
any Service Resident Member without notice, who does not abide by the registered rules of PPBP12
or these terms and conditions.

Voting Rights

All Service Resident Members shall have voting rights and entitle to vote and nominate their Principle
Committee members or pass any resolutions during an EGM or AGM.

Interpretation
In the event of any question or matter arising out of any point which is not expressly provided for in
these terms and conditions, the decision of the Principle Committee members shall be binding on all
Service Resident Members unless and until countermanded by a resolution of a general meeting.

Edward Skading
Secretary

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