EDSC Application Form

EDSC Member Application Form
Kindly fill in the form:

Name : .........................................................
EDS Program Name: .................................
Start Date of Program: ..............................
End Date of Program: .................................
Designation: .................................................

Company: ......................................................
Contact: Telephone .........................Fax .........................
E-mail: ..................................................
Postal Address: .....................................
.............................................................
.............................................................

Membership Type: ...........................
Alumni Directory Preference: .........................................................
(Fun / Knowledge / Networking).

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