New Member Application

Registration

How to register through the internet:

1. download the application form below.

2. fill in the form and send to us by e -mail or post.

3. we will inform you, if there is any available position in the section (new member needs to be audition)

4         Entrance & Subscription Fees:

4.1  An entrance / annual fees RM12.00 is payable within 4 weeks of selection to membership, in default of which membership may be canceled by order of the Executive Committee.

4.2  An annual subscription fee of RM12.00 is payable within the first month of each financial year. The financial period of the membership starts annually from December to September the following year. Fees have to be paid by January every year.

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IPOH SYMPHONIC BAND

Promoting symphonic band music and serving the community

MEMBERSHIP APPLICATION FORM

Name

English:

Chinese:

N.R.I.C No:

Age:

Sex: M/F

Date of Birth:

Place of Birth:

Nationality: Malaysian / Others___________

Race:

Marital status:  Single / Marriage

Address:

Telephone (H):                      (O):

Mobile phone:

Occupation:

E- mail:

ICQ code:

Personal Homepage:

If you are currently in the working class, please state your company name and field of work: Employer / company name:

Field of work:

Education level: Primary / Secondary/ Tertiary

School / institute:

Field of study for tertiary education:

Field of work:

Musical background (Choir, school band, ensemble, community band, community orchestra, professional orchestra etc….)

Major Instrument:

Minor Instrument:

Musical Course Examination:

Band/Orchestra Experience (s):

Period of involvement (year):

Any significant / major music camp involvement:

Years of involvement:

Do you have your own wind instrument: Yes / No

If you have your own instrument (s), please state below:

Instrument:

Brand:

Model:

If no, any possibility of borrowing? Yes / No

Where can you borrow an instrument? School band / other________________________

Remarks: If you have been recruited by the society, within 2 weeks, please submit 2 Passport size photos to the secretarial board of the society.

 

signature of Applicant                                                                          Date of application: