MBFPCA Registration & Payment Form

Persatuan Pembimbing Ibu Menyusu Malaysia
Malaysian Breastfeeding Peer Counsellor Association

Emal : membership@malaysianbfpc.org

Website : www.malaysianbfpc.org
Borang Keahlian Persatuan

Association Membership Form
Perhatian: Sila baca dokumen Perlembagaan Persatuan sebelum mengisi borang ini. (Klik di sini - Perlembagaan Persatuan)

Note: Please read the Association Constitution document before filling out this form. (Click here - Association Constitution)
Nama Penuh / Full Name : *
No. Kad Pengenalan / IC No :*
Alamat / Address :*

BandarNegeri

Poskod
No. telefon bimbit / Mobile no :*

Kodnombor telefon
No. telefon rumah :

Kod negerinombor telefon
E-mel / Email address:*
Facebook ID (jika ada) :
Pekerjaan / Occupation :*
Nama Majikan & Alamat :
Persatuan lain yang dianggotai / Other member associations :
No. telefon pejabat :

Kod negerinombor telefon
Tahap pendidikan tertinggi / Highest level of education:*
Tidak / NoYa / Yes
Yuran Ahli bersekutu = RM50 (yuran masuk + yuran tahunan) / Associate Member Fee = RM50 (entry fee + annual fee)
Tahun & lokasi kursus asas yang anda sertai / Year & location of the Entry Level Course you participated in :*
Yuran Ahli Biasa = RM50 (yuran tahunan) / Ordinary Member Fee = RM50 (annual fee)
Saya telah membaca dan memahami Perlembagaan Persatuan / I have read and understood the Constitution of the Association
Cara Pembayaran dan Pengesahan / Payment and Verification Method
(1) Lakukan pembayaran secara online banking / Cash Deposit Machine (CDM) / mesin ATM / Bank-in (kaunter) ke akaun Maybank 5628 3461 7338 (Persatuan Pembimbing Ibu Menyusu Malaysia. Emel penerima : bendahari@malaysianbfpc.org).

(1) Make payment online banking / Cash Deposit Machine (CDM) / ATM / Bank-in machine (counter) to Maybank account 5628 3461 7338 (Malaysian Breastfeeding Counselor Association. Recipient email: bendahari@malaysianbfpc.org).

(2) Bagi bukti pembayaran yang menggunakan Cash Deposit Machine (CDM) / Mesin ATM / Bank-in (kaunter), sila scan/ambil gambar resit anda dan upload melalui borang di bawah.

(2) For proof of payment using Cash Deposit Machine (CDM) / ATM / Bank-in Machine (counter), please scan / take a picture of your receipt and upload through the form below.

(3) Bagi pembayaran secara Pindahan Online (Online Transfer) sila salin resit anda kepada fail imej JPG/GIF/PNG (Sila pastikan tidak melebihi 200KB agar anda tidak menghadapi kesukaran untuk muat naik) dan upload melalui borang di bawah.

(3) For Online Transfer payment, please copy your receipt to JPG / GIF / PNG image file (Please make sure not to exceed 200KB so that you do not have difficulty uploading) and upload via the form below.
Bukti Pembayaran (JPG/GIF/PNG/PDF) 200KB / Proof of Payment (JPG / GIF / PNG / PDF) 200KB*

Upload a File

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Ikrar saya,

My pledge
Saya bersetuju bahawasanya Perlembagaan Persatuan adalah menjadi landasan bagi hak-hak dan tanggungjawab saya di dalam Persatuan. Saya juga memahami dan bersetuju bahawa Jawatankuasa Persatuan berhak memecat atau menggantung keahlian saya atas sebab yang dipersetujui oleh Jawatankuasa Persatuan.I agree that the Constitution of the Association is the basis for my rights and responsibilities within the Association. I also understand and agree that the Association Committee reserves the right to dismiss or suspend my membership for reasons agreed by the Association Committee.
Pengurusan KeahlianPerkhidmatan Perhubungan Pelanggan (PR)
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Borang Keahlian Persatuan

Cara Pembayaran dan Pengesahan / Payment and Verification Method

Ikrar saya,