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

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


RCM Enrolment/Entrance Fee starts with a minimum 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
/
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 the club, 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 & RCM WILL ISSUE RECEIPT UPON YOUR PAYMENT CLEAR.

DECLARATION: I hereby declare that all the details mentioned above are in accordance with the truth and fact as per my knowledge and I hold the responsibility for the correctness of the above-mentioned particulars. I shall abide by the rules and regulations set out and stated by the constitution of the club. I understand that if I am failing to adhere to the constitution shall have my membership reviewed and/or terminated immediately. 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 shall submit photocopy of my identity for membership application. Last but not least, I 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. NOTE: You are to disclose in this online 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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