EdSc Application

EDSC Membership Application Form

Kindly fill in the form:

Name : ………………………………………..
Program Taken:..............................................
Commence Date:..........................................
Completion Date: …………………………….
Present place of work and Designation …………………..
Current contact: Telephone……………...Fax……………………
E-mail…………………………………
Postal Address………………………………….
……………………………………
………………………………………

Membership Type:..........................
Directory Listing Preference:....................

*(Fun / Business Opportunity / Knowledge)
Interest: .......................................................

And submit to:

The Registrar,

EDSC Board,

C/O EDS Advance Academy,
48 Lorong Kurau 17,
Chai Leng Park,
13700 Prai, Penang,
Malaysia.
Contact: Telephone: + 604-390 1396
Fax: + 604 390 9766
Email: edscircle@gmail.com