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.

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:
drnorazan61@gmail.com or kindly call 019 250 2420.

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Upon/After registration, I hereby include the payment for membership fees

Annual: RM30.00 (+ Registration Fee RM50.00) | Total: RM80.00Lifetime: RM300.00 (+ Registration Fee RM50.00) | RM350.00

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