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NRIC:
Bank Branch:
NRIC: NRIC:
Fold Here
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Date of Birth: Date of Birth:
NRIC: NRIC:
I declare that the above information is true and authorise Sarawak Teachers’ Union to deduct my monthly premium for Takaful
Guru scheme for RM30 each Participant through Biro Perkhidmatan Angkasa (BPA).
Member’s Signature: ______________________
REMINDER: Do not forget to attach your pay slip here!
Date: ______________________
Should you wish to contribute more than RM30 per month, please tick! Fold Here
Fold Here
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