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New Membership Registration
Category
Fee
Children
2.00
Student
2.00
Adult
5.00
Senior Citizen
2.00
Foreigner
20.00
Disabled Person
Free
Please fill in all details
Name :
Date of Birth :
No IC/Passport No :
Gender :
Male
Female
Patron Categories :
Public
MPSepang Staff
Council Member
Race :
M - Malay
C - Chinese
I - Indian
O - Others
Citizen :
Malaysia
Others
France
United States
China
Spain
Italy
Turkey
United Kingdom
Germany
Russian Federation
Mexico
Austria
Hong Kong
Ukraine
Thailand
Saudi Arabia
Greece
Canada
Poland
Macao
Netherlands
Singapore
Hungary
Croatia
South Korea
Egypt
Morocco
Czech Republic
Switzerland
South Africa
Indonesia
Ireland
Romania
Belgium
Denmark
Portugal
Bahrain
Bulgaria
India
Japan
Vietnam
Australia
Argentina
Brazil
Sweden
Norway
Tunisia
Dominican Republic
Finland
Jordan
Yemen
Philippines
Pakistan
United Arab Emirates
New Zealand
Occupation :
Email :
Address :
Mobile Number :
Member Id :
Tick if sign up for kids under 12 years old
Parents/Guardian Information (For Kids Membership below 12 Years Old Only)
Parent/Guardian's Name :
Email :
Mobile Number :
No IC/Passport No :
Purpose :
Enter Security Code :
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