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MEMBERSHIP REGISTRATION

REGISTRATION

MASM MEMBERSHIP

Personal Details

Please Select Title.
Please Enter Full Name.
Please Enter valid NRIC without - and space
Please Select.
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Please Select Gender.
Please Enter Email.
Please Enter Address.
Please Enter Postcode
Please Enter State
Please Enter Country
Please Enter Mobile No
Please Select Nationality
Please Enter Areas of interest/research

Work Details

Please Enter Occupation
Please Enter Company Name / Institution
Please Enter Office No
Please Enter Office Address
Please Enter Postcode
Please Enter State
Please Select Country

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.
Please upload
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Membership Selection & Payment

Please Select Membership Type
Please Select Payment Method
Please Attach Payment Proof

All payments are to be issued in favour of
"PERSATUAN PERUBATAN SUKAN MALAYSIA"
Bank : CIMB BANK
Account No : 8007-41-2959


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.