Application Form for Ah Beng

APPLICATION FOR MEMBERSHIP IN CHAP SAR TIAM SECRET SOCIETY

1. NRIC No.: _________________

2. Surname: __________________

3. First name: (please X)
[ ] Johnson
[ ] Benson
[ ] Samson
[ ] Hamson
[ ] Janson
[ ] Other: _________________ (if not ending in son? please explain why)

4. Chinese Name: Ah __________(if not beginning with Ah? Please explain
why)

5. Age: [ ] Under 35 [ ] Lau Beng


7. Length of Last Fingernail: ________ (cm)

8. Ability to squat for:
[ ] 1 hour
[ ] 2 hours
[ ] more than 2 hours (wah, steady!)

9. Hairstyle:
[ ] Spiky
[ ] Dyed with streaks of blond
[ ] Dyed with streaks of red
[ ] Two strands dangling in front of eyes
[ ] Kana mop like that
[ ] Perm (please state which salon in JB you went)____________________

10. Tattoo of:
[ ] Tiger
[ ] Dragon
[ ] Snake
[ ] Eagle
[ ] Hello Kitty

11. Work experience: (please X all that apply)
[ ] KTV Lounge Bouncer
[ ] Snooker Hall Attendant
[ ] Unlicensed Contractor
[ ] Freelance debt collector
[ ] Unlicensed bookie
[ ] Dispute Resolution and Settlement Professional
[ ] Unemployed

12. Spouse's Name: _________________________
2nd Spouse's Name: _________________________
3rd Spouse's Name: (the one in Batam, that one)
_________________________
Lover's Name: _________________________
2nd Lover's Name: (Lorong 69, that pooi-pooi one)
_________________________

13. Number of children living in household: ____
Number of children that are actually yours: ____


14. Mother's Name: _________________________ (If not sure, leave blank)

15. Father's Name: _________________________ (If not sure, leave blank)

16. Education: (Circle how many years it took you to finish primary school)

8 9 10 11 12

17. Ability to swear: (please X all that apply)
[ ] Hokkien
[ ] English
[ ] Malay
[ ] Tamil
[ ] Cantonese
[ ] rude hand signs

18. Service performed in previous secret society:
[ ] Leadership/Tua Tao
[ ] Junior management/Suay Tao
[ ] Physical activities/Hooting
[ ] Dispute Resolution and settlement/Cham Siong
[ ] Lookout/Kuah Chui