Psoriasis Association of Malaysia AGM 31 July 2021
Update of members contact details and registration form for Annual General Meeting 2021


Date : 31 July 2021
Time : 10am - 12pm
Platform : Zoom
Email *
1. Full Name as per IC / Nama Penuh seperti Kad Pengenalan *
2. Gender / Jantina *
3. Date of Birth / Tarikh Lahir *
MM
/
DD
/
YYYY
4. Correspondence Address / Alamat Surat-menyurat *
5. Email Address / Alamat Emel (If not same as the above)
6. Are you a Malaysian / Adakah anda warganegara Malaysia? *
7. Are you a Psoriasis Patient, if yes how many years? / Adakah anda seorang pesakit Psoriasis, jika ya, berapa lama anda menghidapinya? *
8. I would like to attend the upcoming AGM 2021 / Saya ingin menyertai mesyuarat am tahunan ini. (If yes we will send you the required documents before AGM) *
9. How do you wish to be contacted by PAM? *
Watsapp Messages
Email
Telephone Call
Communication preference/ Cara komunikasi pilihan
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