Registration Form

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.84″ background_layout=”light”]

Welcome to PERINTIS member registration form page.

To learn more about types of membership please visit the membership information page or use the link at the top: MEMBERSHIP -> Information.

This is NOT for PERINTIS website user registration. For PERINTIS user registration, please click here.

Instructions

  1. Log in/Register with PERINTIS website (Recommended).
  2. Please fill in the form carefully.
  3. All labels with the asterisk (*) are required.
  4. Application will be processed after receiving proof of payment.
  5. For further inquiries please contact: info@perintis.org.my

Please let us know once payment is made as per the instruction below:

Payment for membership can be made to (Direct Bank In):
Persatuan Saintis Muslim Malaysia
Account Number: 12092010033214  (Bank Islam Malaysia Bhd).

Please scan and email receipt or sms proof of payment to the treasurer:
hazleen@iium.edu.my or kindly call +60 19-260 5527.

[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

Scroll to Top