Membership Application Form

There are two ways to apply for a membership: 
(i) You can downloaded the Membership Form (membership-form.zip)  from here or
(ii) Fill in the Online Membership Application Form below:

(Note: Please fill in all the fields)

NAME(English)     
NAME(Chinese)                 
NRIC NO.   SEX 
DATE OF BIRTH     PLACE OF BIRTH 
PROVINCIAL ORIGIN  OCCUPATION 
EDUCATION QUALIFICATION 
        
POSTAL ADDRESS/HOME ADDRESS



TEL NO. (O)   
TEL NO. (R)   
TEL NO. (H/P) 
FAX NO.       


PARTICULARS OF APPLICANT'S FAMILY

	Name	I/C No	Date of Birth	Relative	Sex	Occupation	Qualification
1
2
3
4
5
6
7
8
9

I hereby apply for membership and i agree to obey all the rules and conditions of the Association. 
I enclose RM10.00 being the entrance fee with this Application Form for your approval.

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