The Secretary State Hindu Endowments Board Photo Level 30, KOMTAR (Compulsory) 10000 Penang.

Dear Sir,

APPLICATION TO SERVE IN THE TEMPLE MANAGEMENT COMMITTEE FOR THE TERM 1ST JULY 2021 – 30TH JUNE 2022

Name : ______

Address : ______

Contact No : ______

Occupation : ______

Educational Background : ______

Related Background : ______

(If any) ______

I am applying to be in the Temple Management Committee of: (Please tick at the relevant box)

1. Kuil Thanneermalai Shree Balathandayuthapani Devastanam (Hilltop), Arulmigu Sree Ganeshar, Shree Ayyappa Swamy, Arulmigu Naganathar temples, Waterfall Road. 2. Kuil Sri Maha Mariamman, Queen Street, Penang. 3. Kuil Sri Ramar, Solok York, Penang. 4. Kuil Sree Maha Mariamman, Tokong Lane, Butterworth. 5. Kuil Sri Kunj Bihari, Penang Road, Penang. 6. Kuil Sri Selva Vinayagar Hindu Paripalana Devasthanam, Prai. 7. Kuil Dewi Sri Annai Thropathi Amman, . 8. Kuil Dewi Sree Veerapathra Maha Kaliamman, , Butterworth. 9. Kuil Sri Sakthi Vinayagar, Jalan Fettes, Penang.

I hereby state that the above information is correct and true and further agree to abide by all requirements / discipline that come’s with the position.

______Date Signature

NOTE : 1. Application form to be submitted on or before 15th June, 2021 to the Hindu Endowments Board’s office. The Board will decide on the merits and appointment based on its needs.

2. Please attach copy of your Identity Card.

3. All those currently serving in any of the HEB Temple committees are also required to apply using this form.

The application form can be obtain from all the HEB temples, HEB office at Jalan Macalister, Dewan Sree Mariamman, Jalan Mengkuang, Butterworth and also can be downloaded from the HEB website – www.hebpenang.gov.my (Formats).