IAPMD MEMBERSHIP SUBSCRIPTION & RENEWAL FORM
YEAR OF RENEWAL
IDENTITY CARD/PASSPORT NO
CURRENT WORKING ADDRESS
Please tick one of the boxes below. Payment can be made by: 1. Banking in/transfer to a Maybank Ac no: 553131004310, registered under "PER AKADEMI PATOLOGI A'BANGSA M'SIA". Please email the receipt of the payment to IAPMD seceretariat;
OR 2. By cheque:Please make the cheque to: "PER AKADEMI PATOLOGI A'BANGSA M'SIA" and kindly email your evidence of payment.
Annual membership renewal fee
Renewal of annual ordinary membership (RM100)
Renewal of allied membership fee (RM300)
Convert to life membership (RM1000) [for ordinary members only]
Renewal of trainee membership (RM75)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service