BMSM Life Membership Online Application Form
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.
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Name (full as per IC) *
IC No.: *
Sex *
Date of Birth *
Full Address (complete with postcode) *
Phone number (for non-Malaysian no, to be complete with country code) *
Nationality *
Areas of expertise (to help us out if needed)
Sections (tick all relevant)
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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:
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
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