Richlist Club Malaysia
KELAB RICHLIST MALAYSIA
(PPM-019-14-14042017)

Level 32, Menara Prestige,
1 Jalan Pinang,
50450 Kuala Lumpur, Malaysia.
URL: www.richlistclub.com


RCM Programme starts with minimum Enrolment/Entrance Fee | MYR 100.00 (Non-refundable).

Note: Other's Contribution or Honorary Contribution etc. (Any amount).

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Email *
Richlist Club Activities
Name (Fullname) *
Date of Birth *
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DD
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YYYY
Passport/NRIC *
Gender *
Occupation *
Address *
Postcode *
City/State *
Nationality *
Mobile No. *
Introducer *
Voucher No. (if applicable)
Club Membership Fee in [MYR] *
Payment Method
Once you have decided to join us, please make your payment / cheque to:

RICHLIST CLUB MALAYSIA
Bank Name: MAYBANK
Bank Account: 5142-5353-5440
Bank Swiftcode: MBBEMYKL
- or-
KELAB RICHLIST MALAYSIA
Bank Name: AMBANK
Bank Account: 888-102-055-631-6
Bank Swiftcode: ARBKMYKL

NOTE: THIS IS A NON-REFUNDABLE MEMBERSHIP PROGRAMME.
DECLARATION: I hereby declare, that all of the information I have provided is complete and correct. I shall abide by the Rules and Regulations set out and stated by the Board of the Club. I understand that any member failing to adhere to the Club rules shall have their membership reviewed by the Committee and may have their membership terminated without delay. I fully understand that the membership fee payable to the club is non-refundable and I shall not claim for refund after my application; enrolment and/or termination. Therefore, I have agreed to all terms and I hereby submit photocopy of my identity for membership application. I also agree that any personal data on this application may be held, used and disclosed for the purpose of processing this application and providing subsequent services for this and/or other products and services, direct marketing, and data matching. NOTE: You are to disclose in this proposal form, fully and faithfully, all the facts you know or ought to know, otherwise your application may be void and/or rejected. *
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