KL Buddhist Mental Health Association (BMHA) Membership Form (ROS NO: 0515-10-WKL)
I wish to enroll as a member of KUALA LUMPUR BUDDHIST MENTAL HEALTH ASSOCIATION (BMHA). Enclosed herewith are :

RM 20 Entrance Fee (only once upon registration)
RM 30 Annual Membership Fee (renewable annually)
Total = RM 50

Life membership fee = RM 300 (inclusive of entrance fee if you are paying for the first time).

You may bank in the money to KUALA LUMPUR BUDDHIST MENTAL HEALTH ASSOCIATION (Maybank account no: 5144 7702 2950), and email the bank-in slip to Jasmine Chiam (jasminechiam1@gmail.com), Peh Yen Wah (pyenwah@yahoo.com) & Dr. Phang Cheng Kar (pckar39011@gmail.com).

Note: You can still become a member even if you are not a medical doctor or mental health professional.

The membership fee will be of great support to us in our activities and publications.

Transforming Challenges, Discovering Happiness.Thank you.

Date *
Date of fee payment.
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Membership status *
Name *
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IC Number *
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Age *
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Gender *
Mailing address *
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Email address *
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Phone number *
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Occupation *
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Highest education level *
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What are your counseling experiences?
If there is any...
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Membership number
We will give you after your membership application is approved.
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Other remarks?
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