PERSATUAN SISTEM MAKLUMAT MALAYSIA APPLICATION FORM
Thank you for your interest in joining PERSATUAN SISTEM MAKLUMAT MALAYSIA (MyAIS). In order to become a member, you will have to be a member of ASSOCIATION FOR INFORMATION SYSTEMS (AIS). Please refer to this URL for more information: https://aisnet.org/general/register_member_type.asp. If you are already member of AIS, kindly fill up the details in this form.
PERSONAL INFORMATION
Title
(Mr./Ms./Dr./Assc. Prof./Prof.)
Full Name *
Date of Birth
(Day/ Month/ Year) _____ / ____ / ____ (e.g. 07/03/1977)
Nationality *
Contact Number *
Email *
Organization Information
Organization Name *
Role/Position Held
Website
(Start with: “http://”)
Address *
Address Continue
City/Town *
State *
Postal Code *
Country *
Membership Fee
Are you now or were you ever a member of AIS? *
If Yes, please provide, if known your AIS Membership Number
Year expired of AIS membership
MyAIS Membership Prices *
Membership fee is subjected to the selected membership price. An entrance fee of RM20 shall be paid for first time registration.
Payment Method
Kindly do the payment via online banking or cash deposit to :
ACCOUNT HOLDER: PERSATUAN SISTEM MAKLUMAT MALAYSIA
BANK NAME : CIMB BANK
ACCOUNT NUMBER:800-765-9114
Proof of Payment *
Please upload the evidence of payment here. Only PDF file accepted
Required
Acknowledgement *
I hereby apply for MyAIS Membership and agree to be governed by the MyAIS Constitution, Bylaws and Code of Ethics. I understand that MyAIS will communicate with me regarding my individual membership and all related benefits. Application must be signed.
Required
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