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MEMBER REGISTRATION FORM
Member Registration Form
Title
*
Mr
Ms
Madam
Name
*
IC No
*
Address
*
Telephone (Home)
Telephone (Office)
Handphone
*
Email Address
*
Gender
Male
Female
Birthday
*
Occupation
School Name
* For teacher use only
Instructions
The Member Registration Fee is RM 10(2 Years), please make the full payment after submitted your data and upload bank slip to our
payment page
, thank you.
Verification
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*
Example: 12
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