BMSM Life Membership Online Application Form

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Dear Hon General Secretary, BMSM

I wish to enroll as a Life Member of the BUDDHIST MISSIONARY SOCIETY MALAYSIA and enclose herewith a copy of my IC and the membership fee of RM50.00.

I agree to abide by the rules and regulations as stipulated in the Constitution and any additions or amendments thereof which may be introduced from time to time.

Name (full as per IC) *

IC No.: *

Sex *

Male

Female

Date of Birth *

YYYY

Full Address (complete with postcode) *

Phone number (for non-Malaysian no, to be complete with country code) *

Occupation

Nationality *

Malaysian Citizen

Malaysian Permanent Resident

Areas of expertise (to help us out if needed)

Sections (tick all relevant)

Ladies

Welfare

Youth

Meditation

Buddhist Business Network (BBN)

Branches

Shah Alam

Kajang

Sabah

Putrajaya

Melaka

Kelantan

Penang

Perak

Negeri Sembilan

Clear selection

Payment

You may make payment via
1. Touch ‘n Go eWallet or
2. Fund transfer (online banking or ATM) to Account No.: 3094360931 @ Public Bank

And submit the payment slip/screenshot together with a copy of IC by any method below:
1. send to +601125455257 via WhatsApp or Telegram
2. email to: info@bmsm.org.my
3. post to BMSM Samadhi Vihara, 1B Jln Pegaga U12/8, Section U12, Kawasan Perindustrian Bukit Raja, 40170 Shah Alam, Selangor

Scan to pay with Touch n Go

Submit

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