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Membership Application

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– Step 1 of 4

A. APPLICANT PARTICULARS

Name *

as per MyKad/Passport

MyKad/Passport No *

Nationality *

Date of birth *

Phone *

Email *

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B. PROPERTY AND REPRESENTATIVE DETAILS

House Number *

Your house number in Taman Connaught

Jalan/Lorong *

Property Located in which Jalan/Lorong in Taman Connaught

Relationship to Property *

Do you ordinarily reside at this property *

Property owner/co-owner name *

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C. REQUIRED SUPPORTING DOCUMENTS

The proof of address should preferably be dated within the last three months. Non-essential account, usage and payment details may be obscured, but the property address and document date must remain visible.

Supporting Documents Upload

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 3 files.

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Recent utility bill or other acceptable proof of the property address is attached.

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APPLICANT DECLARATION AND PERSONAL DATA CONSENT

The information and documents provided are true and complete.
I am the property owner/co-owner or am duly authorised by the property owner to represent the stated property, and I understand that only one official household representative may be recognised at any one time under the Association’s approved procedures.
I authorise Connaught 1RA to verify this application and agree to notify the Association if my ownership, residence or authority to represent the property changes.
I agree to comply with the registered Constitution, rules and lawful decisions of Connaught 1RA, and consent to my personal data being used and retained for membership verification, the membership register, communications, fees, meetings, voting, governance and statutory purposes.

ordinarily this AND

Signature *

Clear Signature

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Email *

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