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Join SWEPA

You may also fill up the form manually by downloading the application here: [ Page 1 / Page 2 ]

Please deliver all applications to swepa.secretariat@gmail.com or to an authorized personnel.

Full name

Name you wish to be known by

Upload a photo
File size restricted to a maximum of 1mb. Only JPG, GIF, PNG or BMP filetypes accepted.

NRIC/Passport No

Nationality

Date of birth

Place of birth

Current occupation

Name of organization

Type of organization

Professional qualifications
[Please list down the Name, Year obtained and Place you obtained qualifications]

Residential address

Office address

Your email

Contact number
[Home]
[Mobile]
[Office]
[Fax]

Marital status

Name of sponsor/proposer

Name of seconder

Digital signature
[Please type your name]
By typing your name, you agree that all the information provided in this application is true

*Please note that the annual subscription fee is RM10.00 per month, with an additional one time payment Entrance Fee of RM50.00 (Subsequent Annual Subscription of RM120.00 will be due by 30th January the following year).

Prove that you are a person. Enter the letters below
captcha

 

Terms & Conditions:

  • Admission is subject to the Exco approval.
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