AFKL x APCA

Corporate Class Enrollment Form

First Name (Please fill in your family name exactly as in your IC)

IF APPLICABLE

Bin Binti A/L A/P

Last Name

Email Address

Phone Number (Mobile)

Date of birth

IC / Passport n.Compliance with Ministry of Education in Malaysia regulations requires the submission of ID/passport details for official record-keeping purposes.

NationalityIn accordance with MOE Malaysia requirements

Name of Company/Organization

Occupation

Class started on

Day and time of class

I, the undersigned, declare that the information given above is complete and accurate. In compliance with Malaysia Personal Data Protection Act 2010, the client authorizes the Alliance Francaise to collect, process and store all the Personal Data related to this account file. The Alliance Francaise will not, under any circumstances, transfer or communicate those data without authorization from the client to any third party, with the exception of Malaysian law enforcing agencies acting on a court order, or a lawful request from the government.

Date of Signature

Signature

Sign Here

Clear

AFKL x APCA

Corporate Class Enrollment Form

Our Partners

Spread the love!