B1 DT2 E1

NAME
FORM
DATE
Band
Performance Standard
Descriptor
Evidence
Level

B1
Know fundamental skills in listening, speaking, reading and writing.
B1 DT2
Understanding the requirements of application forms
B1 DT2 E1
Able to complete an application form
Advanced

Instruction:
You are interested to join English Language Society of your school. In order to do that, you need to
complete the membership application form as below
ENGLISH LANGUAGE SOCIETY
SMK KENANGA
JalanTanjung, 18300 Kuala Krai, Kelantan.
Please complete this form along with the application fee to Miss Nancy Chong, the Secretary of the English Language
Society.
Application for: (Please tick )
New membership

Renewal of membership

PLEASE WRITE IN BLOCK LETTERS

NAME :_________________________________________________________________________
NRIC NEW :____________________________DATE OF BIRTH :____________________________
GENDER:______________________________ FORM: ___________________________________
NATIONALITY : _______________________________ RACE :______________________________
HOME ADDRESS : ________________________________________________________________
CITY :_____________________ STATE :________________ POSTAL CODE :__________________
PHONE NO:________________ EMAIL :_______________________________________________
FLUENCY LEVEL:_______________________________________________(Poor/Average/Fluent)
POSITION :_______________________________________________________________________
Why are interested to join this society? Write your reason not more than 30 words.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
____________
I have enclosed this form with membership fee of RM20.00
Signature :__________________________

Please submit this form by 31 January 2013.

Free admission for the 10th early birds

B1 DT2 E1

NAME
FORM
DATE
Band
Performance Standard
Descriptor
Evidence
Level

B1
Know fundamental skills in listening, speaking, reading and writing.
B1 DT2
Understanding the requirements of application forms
B1 DT2 E1
Able to complete an application form
Intermediate

Instruction:
You are interested to join English Language Society of your school. In order to do that, you need to
complete the membership application form as below.

ENGLISH LANGUAGE SOCIETY

SMK KENANGA
Jalan Tanjung, 18300 Kuala Krai, Kelantan.
Please complete this form along with the application fee to Miss Nancy Chong, the Secretary of
the English Language Society.
Application for: (Please tick )
New membership

Renewal of membership

PLEASE WRITE IN BLOCK LETTERS

NAME :_________________________________________________________________________
NRIC NEW :____________________________DATE OF BIRTH :____________________________
GENDER:______________________________
NATIONALITY : _______________________________ RACE :______________________________
HOME ADDRESS : ________________________________________________________________
CITY :_____________________ STATE :________________ POSTAL CODE :__________________
PHONE NO:________________________________________
I have enclosed this form with membership fee of RM20.00
Signature :__________________________

Please submit this form by 31 January 2013.

B1 DT2 E1
NAME
FORM
DATE
Band
Performance Standard
Descriptor

B1
Know fundamental skills in listening, speaking, reading and writing.
B1 DT2
Understanding the requirements of application forms
B1 DT2 E1
Able to complete an application form
ELEMENTARY

Evidence
Level
Instruction:

You are interested to join English Language Society of your school. In order to do that, you need to
complete the membership application form as below.
ENGLISH LANGUAGE SOCIETY
SMK KENANGA
JalanTanjung, 18300 Kuala Krai, Kelantan.
Please complete this form along with the application fee to Miss Nancy Chong, the Secretary of the English Language
Society.
Application for: (Please tick )
New membership

Renewal of membership

PLEASE WRITE IN BLOCK LETTERS

NAME :_________________________________________________________________________
I/C NO :____________________________DATE OF BIRTH :_______________________________

GENDER: MALE

NATIONALITY : MALAYSIAN

RACE : MALAY

FEMALE

NON MALAYSIAN

CHINESE

INDIAN

OTHERS

HOME ADDRESS : ________________________________________________________________

CITY :___________________ STATE :________________ POSTAL CODE :__________________
PHONE NO:________________________________________
I have enclosed this form with membership fee of RM20.00
Signature :__________________________

Please submit this form by 31 January 2013.

B1 DT2 E1

B1 DT2 E1