To : Potential and Prospect Committee Members, Volunteers and Collaborators

GJS INTELLECTUAL COMPANY AUSTRALIA

GJS 智慧公司（澳洲）

MEMBERSHIP REGISTRATION FORM

Name (in English)  :        Name (in your own language) :  

Address                : 

Phone number        :                                E-mail          : 

Course                  :                                  Date of Birth  : 

Agreement :

I am interested to be a member committee for the project under GJS Intellectual Company Australia.  I would like to give permission to the executive committee member to use the information above for the administration purposes of the project.  All the information provided above is correct.

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(Signature of member and date)                                                                (Date and Staff / Student ID)

Note for Members : :

Please e-mail this membership or activity registration form online.  Should you have any further queries or suggestions, please call or SMS to Chuen-Tat Kang (江俊达) at +61-(0)405421706 or e-mail [email protected]. The society in the formation process and is currently managed by GJS Intellectual Company Australia, PO Box 6263, Dandenong, Victoria VIC 3175, Australia.  Please type "N/A" in the space if the requested information is not applicable.

ADDITIONAL COMMENT

Thank you for your cooperation.  You will be contacted again should further collaboration is looked forward.  Please click "send" to submit us your precious opinion.

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