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Sat, 16 December 2017 09:13:55 +0000

Membership Application Form

All Mark Field   *   Mandatory


(CATEGORY & TYPE OF APPLICATION)

PLEASE SELECT ONE CATEGORY:*
(Please refer to "MEMBERSHIP CATEGORY")

Firms Sole Proprietor(RM450)
Limited companies(RM600)
Associate (RM450)
Youth Member(RM150)
Lady Member(RM150)
Life Member (RM5000)

SECTION A (COMPANY INFORMATION)

*

*

*

*

*

*

*

(Format: YYYY-MM-DD)

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*

PLEASE TICK ONE CATEGORY:
(Please refer to "Nature of Business")

Manufacturer
Trade
Export
Import
Service
Wholesale
Retail
Agent
Others

   
SECTION B - PERSONAL INFORMATION (Managing Director/Partner/Proprietor)


Title:

*

NRIC NO:*

(xxxxxx-xx-xxxx)

Old IC No:

(xxxxxxxx)

Passport No  (Non-Malaysian):

 

Date of Birth : *

   /     /   

Month

Day

Year

*

*

Malay Indian Chinese
Others

*

Single Married

*

Correspondence Address *

 
 

*

*

*

*

*

*

Title:

NRIC NO:

(xxxxxx-xx-xxxx)

Old IC No:

(xxxxxxxx)

Passport No  (Non-Malaysian):

 

Date of Birth :

   /     /   

Month

Day

Year

Malay Indian Chinese
Others

Single Married

Correspondence Address