Membership Registration

Username/Login

This is required.

has to be less than 30 characters long.

has to be more than 3 characters long.

Password

This is required.

Minimum 8 characters, with at least 1 digit and 1 alphabet.

Repeat Password

This is required.

Repeat password is not matching with password

Full Name in Passport

This is required.

has to be less than 50 characters long.

has to be more than 3 characters long.

Email Address

This is required.

Invalid Email Address

Highest Education Level

This is required.

has to be less than 100 characters long.

has to be more than 3 characters long.

NRIC/FIN/Passport

This is required.

has to be less than 20 characters long.

Need at least one digit and one letter

Date of Birth (Firefox: yyyy-mm-dd)

This is required.

Nationality

This is required.

has to be less than 20 characters long.

has to be more than 3 characters long.

Salutions

Mr

Mrs

Mdm

Ms

Dr

Prof

Assoc. Prof

Gender

Male

Female

Country of Origin

{{country}}

Company Name

This is required.

has to be less than 20 characters long.

has to be more than 3 characters long.

Company Address 1

has to be more than 3 characters long.

This is required.

has to be less than 20 characters long.

Company Address 2

has to be more than 3 characters long.

This is required.

has to be less than 20 characters long.

Country of Company

{{country}}

Company Postal Code

This is required.

has to be less than 20 characters long.

can only contains digit

Job Desc./Research Area

This is required.

has to be less than 100 characters long.

has to be more than 4 characters long.

Home Address 1

This is required.

has to be less than 20 characters long.

has to be more than 3 characters long.

Home Address 2

This is required.

has to be less than 60 characters long.

has to be more than 3 characters long.

Home Postal Code

This is required.

has to be less than 20 characters long.

can only contains digit

Country of Home

{{country}}

Mobile Number

This is required.

has to be less than 30 characters long.

can only contains digit and + sign

Phone Number

need to has minimum 8 digits.

This is required.

has to be less than 30 characters long.

can only contains digit and + sign

Name of Referral

This is required.

has to be less than 60 characters long.

has to be more than 2 characters long.

Referral Email

This is required.

Invalid Email Address

Referral's Phone Number

This is required.

has to be less than 30 characters long.

can only contains digit and + sign

Referral's Company Name

This is required.

has to be less than 20 characters long.

has to be more than 3 characters long.

Referral's Job Position

This is required.

has to be less than 100 characters long.

has to be more than 4 characters long.

Primary Member Name

This is required.

has to be less than 60 characters long.

has to be more than 3 characters long.

Relationship with Primary Member

This is required.

has to be less than 30 characters long.

has to be more than 3 characters long.

Primary Membership Number

This is required.

has to be less than 30 characters long.

has to be more than 3 characters long.

Primary Member NRIC

This is required.

has to be less than 30 characters long.

Membership Type:

Junior

A*Star

Non A*Star

Supplementary

Apply For Spouse

Your spouse will need to submit new application after your application.

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