Membership Application | The National Autism Society of Malaysia

Membership of The National Autism Society of Malaysia (NASOM) is opened to all Malaysian citizens aged 18 and above who subscribes to the objectives and vision of the society.

We welcome everyone eligible to be part of the society and enjoy various benefits offered by the society.

Please read through the membership type below before proceeding to apply.

Membership Type

Ordinary Membership
Annual Subscription: RM 20.00 per person
This membership is per annual basis and eligible to attend NASOM's Annual General Meeting (AGM) and will have full voting rights.
Life Membership
One time fee for life: RM 300.00 per person
This membership is a lifelong membership and eligible to attend NASOM's Annual General Meeting (AGM) and will have full voting rights.
Affiliate Membership
Annual Subscription: RM 200.00 per organisation
This membership is per annual basis and open to any organisation / association / voluntary organisation and is eligible to attend NASOM's Annual General Meeting (AGM) but shall not be eligible to vote.
Associate Membership
Annual Subscription: RM 10.00 per person
This membership is per annual basis and is only eligible for all NASOM employees. Member is eligible to attend NASOM's Annual General Meeting (AGM) but shall not be eligible to vote.

Please make payment for the membership fee via bank transfer to NASOM's account:
CIMB Bank Account Number: 8002646241
Account Name: The National Autism Society of Malaysia

Should you have any questions about our membership, please contact NASOM Membership at membership@nasom.org.my

Membership Type*

Ordinary Member (Annual Subscription: RM20 per person)Life Member (One Time Subscription: RM300 per person)Affiliate Member (Annual Subscription: RM200 per organisation) - Open to Organisation / Association / Voluntarily OrganisationAssociate Member (Annual Subscription: RM10 per person) - Open to NASOM employees only

Please upload your bank transfer payment receipt here

Name Prefix / Title

Full Name (As Per NRIC / MyKAD)*

NRIC / MyKAD Number*

Date of Birth*

Date

Marital Status

Phone Number*

Area CodePhone Number

Email*

example@example.com

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Are you a parent of an Autistic child?*

YesNo

Would you like to subscribe to our e-mail newsletter to keep in touch with any events, promotions, news, updates, etc?*

YesNo

I/We hereby agree to accept the membership terms and conditions and agree pay all subscription fees as stated on this form.

I/We also agree that if consent have been provided above to subscribe to the society's newsletter, I may receive periodical emails from the society on any updates, events, news, promotions, etc.

Acceptance of Terms and Conditions*

YesNo