Corporate Membership Registration Form

Benefits for Cooperate

1) Be a Member of a prestigious maritime professional body.
2) Eligible to send 2 Representatives to any GRATIS (no-payment) IKMAL-organised event that is held.
3) Should the entity require any support/assistance in matters relating to maritime with any Govt Agency, it can seek IKMAL's help to try resolve.

Company's Details

We wish to apply for membership of the IKHTISAS KELAUTAN MALAYSIA (Association of Malaysia’s Maritime Professionals). Corporate details are as follows:

Company's Name *

Company's Registration Number

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Nature of Business

Telephone Number

Fax Number

Email Address

Company's Nominee 1

Full Name *

Designation *

Date of Birth *

MyKAD No/Passport No *

Telephone Number

Fax Number

Email Address

Company's Nominee 2

Full Name *

Designation *

Date of Birth *

MyKAD No/Passport No *

Telephone Number

Fax Number

Email Address

Agreement

Note: Successful applicants will be notified on procedure of banking in the RM50.00 Entrance Fee and appropriate Membership Fee once approved.

Please make sure all details given are correct and up to date. You are agree to be contacted by IKMAL for announcements and other related matters. Kindly fill up Name, NRIC number and date as indication of agreement. Click on "Submit" button to send this form.

Name *

MyKAD No/Passport No *

Date *