Membership Form

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Personal Details:

Name:

Surname:

Gender:

Date of Birth:

Passport No:

Nationality:

Email:

Tel:

Emergency Contact:

Email:

Tel:

NAME	DATE OF BIRTH	PASSPORT NO.	NATIONALITY
Full name	dd/mm/yyyy
Full name	dd/mm/yyyy
Full name	dd/mm/yyyy
Full name	dd/mm/yyyy
Full name	dd/mm/yyyy

	BRONZE	SILVER	GOLD	PLATINUM
ADULT	RM 150	RM 250	RM 350	RM 500
CHILD (5-18)	RM 75	RM 75	RM 75	RM 75

Adult x quantity = Total
Child x quantity = Total
Joining Fee: RM150
Subtotal
SSt 6% of the subtotal amount
Total Fee Due: