Please submit the form above first to confirm you membership application.
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Membership Fee

RM 110.00
Registration Fees (RM10.00) + Life Membership Fees (RM100.00)

Personal Particulars

Contact Information

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Tick If Correspondence Address

Education Attainment

Declaration

I would like to contribute and play a role in the following areas (please tick where applicable)

Education
ICT
Social
Research
Welfare
Religions/Spiritual
Legal
Sports
Cultural
Economics/Finance
I declare that the information given above is true, and if accepted as a member, I will abide by the constitution, rules and regulation of the Society


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