4B MALAYSIA FLYING CLUB KELAB PENERBANGAN 4B MALAYSIA Hangar KP4B, Lapangan Terbang Batu Berendam, 75350 Melaka West Malaysia TEL : (606) 317-6717 FAX: (606) 317-6717

PATRON

Please address All Communication To The Secretary

Gentlemen                                                                                                      Date :

I hereby apply for election to membership of the Kelab Penerbangan 4B Malaysia.
I declare the following information concerning myself to be true in all respects.

* I WISH DO NOT WISH TO RECEIVE FLYING INSTRUCTION
* I WISH TO USE THE CLUBS FLYING FACILITIES
                                        

In the event and consideration of my election to membership of the said Club, I agree to become a the said Club and its rules and by laws at all time and should death or any injury to me occur in close to or upon the aircraft, hangars or other premises of the Club, or as a result of flying or otherwise, I for myself, my executors and administrators hereby undertake not to bring any legal proceedings or to make any claim or demand for or in respect of such death or injury as aforesaid against the said Club, its general Committee, members, servants or agents or any of them.

I agree to be placed on probation for a period of one year subject to the confirmation of the general committee

Yours faithfully

(Signature of Candidate)

We the undersigned, witness the signature of the above candidate who is personally known to us.
We believe him to be suitable person to be elected as member of 4B MALAYSIA FLYING CLUB and we hereby propose and second him as a candidate for election to the Club.