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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 :
Argentina
Australia
Austria
Bahrain
Belgium
Brazil
Bulgaria
Canada
China
Croatia
Czech Republic
Denmark
Dominican Republic
Egypt
Finland
France
Germany
Greece
Hong Kong
Hungary
India
Indonesia
Ireland
Italy
Japan
Jordan
Macao
Malaysia
Mexico
Morocco
Netherlands
New Zealand
Norway
Others
Pakistan
Philippines
Poland
Portugal
Romania
Russian Federation
Saudi Arabia
Singapore
South Africa
South Korea
Spain
Sweden
Switzerland
Thailand
Tunisia
Turkey
Ukraine
United Arab Emirates
United Kingdom
United States
Vietnam
Yemen
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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