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MEMBERSHIP

MEMBERSHIP REGISTRATION

PERSONAL DETAILS


Date Of Birth

WORK DETAILS


ATTACHMENTS

Images should be in JPEG / JPG / PNG only.
Letter & academic qualifications should be in JPEG / JPG / PNG / PDF only.
All uploaded file size should be 4MB or below.


MEMBERSHIP SELECTION & PAYMENT



All payments are to be issued in favour of
"Persatuan Perubatan Sukan Malaysia"
Bank : Affin Berhad
Account No : 10 020 002068 3


By submitting this registration form, I declare that the particulars given are correct and if accepted, agree to abide by the Rules of the MASM.