SRI-Mas Individual Membership Application Form
This form is for applying membership with SRI-Mas as an individual. Thank you for your interests in SRI-Mas community networks.
SRI-Mas Membership Fee is as follows:
Registration Fee: RM10.00 (one-time payment)
Ordinary (Individual): RM50.00 per year
Ordinary (Student): RM20.00 per year
LIFE Membership: RM200.00 (one-time, eligibility after 3 years, with active contribution and subject to Approval by the Board)

š˜‰š˜°š˜³š˜¢š˜Æš˜Ø š˜Ŗš˜Æš˜Ŗ š˜„š˜Ŗš˜Øš˜¶š˜Æš˜¢š˜¬š˜¢š˜Æ š˜¶š˜Æš˜µš˜¶š˜¬ š˜®š˜¦š˜®š˜°š˜©š˜°š˜Æ š˜¬š˜¦š˜¢š˜©š˜­š˜Ŗš˜¢š˜Æ š˜“š˜¦š˜£š˜¢š˜Øš˜¢š˜Ŗ š˜Ŗš˜Æš˜„š˜Ŗš˜·š˜Ŗš˜„š˜¶ š˜„š˜¢š˜­š˜¢š˜® š˜šš˜™š˜-š˜”š˜¢š˜“. š˜›š˜¦š˜³š˜Ŗš˜®š˜¢ š˜¬š˜¢š˜“š˜Ŗš˜© š˜„š˜Ŗ š˜¢š˜µš˜¢š˜“ š˜®š˜Ŗš˜Æš˜¢š˜µ š˜¶š˜Æš˜µš˜¶š˜¬ š˜®š˜¦š˜Æš˜ŗš˜¦š˜³š˜µš˜¢š˜Ŗ š˜«š˜¢š˜³š˜Ŗš˜Æš˜Øš˜¢š˜Æ š˜¬š˜°š˜®š˜¶š˜Æš˜Ŗš˜µš˜Ŗ š˜šš˜™š˜-š˜”š˜¢š˜“.
š˜ š˜¶š˜³š˜¢š˜Æ š˜’š˜¦š˜¢š˜©š˜­š˜Ŗš˜¢š˜Æ š˜šš˜™š˜-š˜”š˜¢š˜“ š˜¢š˜„š˜¢š˜­š˜¢š˜© š˜“š˜¦š˜±š˜¦š˜³š˜µš˜Ŗ š˜£š˜¦š˜³š˜Ŗš˜¬š˜¶š˜µ:
š˜ š˜¶š˜³š˜¢š˜Æ š˜—š˜¦š˜Æš˜„š˜¢š˜§š˜µš˜¢š˜³š˜¢š˜Æ: š˜™š˜”10.00 (š˜„š˜Ŗš˜¬š˜¦š˜Æš˜¢š˜¬š˜¢š˜Æ š˜“š˜¦š˜¬š˜¢š˜­š˜Ŗ š˜“š˜¢š˜©š˜¢š˜«š˜¢)
š˜ š˜¶š˜³š˜¢š˜Æ š˜›š˜¢š˜©š˜¶š˜Æ š˜ˆš˜©š˜­š˜Ŗ š˜‰š˜Ŗš˜¢š˜“š˜“ (š˜š˜Æš˜„š˜Ŗš˜·š˜Ŗš˜„š˜¶): š˜™š˜”50.00 š˜“š˜¦š˜µš˜¢š˜©š˜¶š˜Æ
š˜ š˜¶š˜³š˜¢š˜Æ š˜›š˜¢š˜©š˜¶š˜Æš˜¢š˜Æ š˜ˆš˜©š˜­š˜Ŗ š˜‰š˜Ŗš˜¢š˜“š˜¢ (š˜—š˜¦š˜­š˜¢š˜«š˜¢š˜³): š˜™š˜”20.00 š˜“š˜¦š˜µš˜¢š˜©š˜¶š˜Æ
š˜ˆš˜©š˜­š˜Ŗ š˜šš˜¦š˜¶š˜®š˜¶š˜³ š˜š˜Ŗš˜„š˜¶š˜±: š˜™š˜”200.00 (š˜“š˜¦š˜¬š˜¢š˜­š˜Ŗ š˜£š˜¢š˜ŗš˜¢š˜³, š˜¬š˜¦š˜­š˜¢š˜ŗš˜¢š˜¬š˜¬š˜¢š˜Æ š˜“š˜¦š˜­š˜¦š˜±š˜¢š˜“ 3 š˜µš˜¢š˜©š˜¶š˜Æ š˜®š˜¦š˜Æš˜«š˜¢š˜„š˜Ŗ š˜¢š˜©š˜­š˜Ŗ, š˜„š˜¦š˜Æš˜Øš˜¢š˜Æ š˜“š˜¶š˜®š˜£š˜¢š˜Æš˜Øš˜¢š˜Æ š˜¢š˜¬š˜µš˜Ŗš˜§ š˜„š˜¢š˜Æ š˜µš˜¦š˜³š˜µš˜¢š˜¬š˜­š˜¶š˜¬ š˜¬š˜¦š˜±š˜¢š˜„š˜¢ š˜¬š˜¦š˜­š˜¶š˜­š˜¶š˜“š˜¢š˜Æ š˜„š˜¢š˜³š˜Ŗ š˜‘š˜¢š˜øš˜¢š˜µš˜¢š˜Æš˜¬š˜¶š˜¢š˜“š˜¢ š˜›š˜¦š˜³š˜µš˜Ŗš˜Æš˜Øš˜Øš˜Ŗ š˜šš˜™š˜-š˜”š˜¢š˜“).

For further information, please contact:
š˜œš˜Æš˜µš˜¶š˜¬ š˜®š˜¢š˜¬š˜­š˜¶š˜®š˜¢š˜µ š˜­š˜¢š˜Æš˜«š˜¶š˜µ, š˜“š˜Ŗš˜­š˜¢ š˜©š˜¶š˜£š˜¶š˜Æš˜Øš˜Ŗ:
Email: srimas.member@gmail.com
HP: +6 013 755 5501
Sign in to Google to save your progress. Learn more
Category -Select One. (Kategori - pilih satu) *
Full Name/ Nama Penuh *
IC No. or Passport No./ No. IC atau Passport *
Date of Birth / Tarikh Lahir *
Nationality / Kewarganegaraan *
Telephone Number / No.Talipon *
Email / Emel *
Address/ Alamat *
Profession/ Pekerjaan *
How do you hear about SRI-Mas? [If you know or are recommended by SRI-Mas Member(s), please state the name(s)]. š˜‰š˜¢š˜Øš˜¢š˜Ŗš˜®š˜¢š˜Æš˜¢ š˜ˆš˜Æš˜„š˜¢ š˜µš˜¢š˜©š˜¶ š˜µš˜¦š˜Æš˜µš˜¢š˜Æš˜Ø š˜šš˜™š˜-š˜”š˜¢š˜“? [š˜‘š˜Ŗš˜¬š˜¢ š˜¢š˜Æš˜„š˜¢ š˜¬š˜¦š˜Æš˜¢š˜­ š˜¢š˜µš˜¢š˜¶ š˜„š˜Ŗš˜¤š˜¢š˜„š˜¢š˜Æš˜Ø š˜°š˜­š˜¦š˜© š˜ˆš˜©š˜­š˜Ŗ š˜šš˜™š˜-š˜”š˜¢š˜“, š˜“š˜Ŗš˜­š˜¢ š˜Æš˜ŗš˜¢š˜µš˜¢š˜¬š˜¢š˜Æ š˜Æš˜¢š˜®š˜¢ š˜ˆš˜©š˜­š˜Ŗ š˜µš˜¦š˜³š˜“š˜¦š˜£š˜¶š˜µ] *
Why are you interested in becoming a SRI-Mas member? š˜’š˜¦š˜Æš˜¢š˜±š˜¢ š˜¢š˜Æš˜„š˜¢ š˜£š˜¦š˜³š˜®š˜Ŗš˜Æš˜¢š˜µ š˜®š˜¦š˜Æš˜«š˜¢š˜„š˜Ŗ š˜ˆš˜©š˜­š˜Ŗ š˜šš˜™š˜-š˜”š˜¢š˜“? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wisconsin Alumni Association. Report Abuse