MALAYSIAN PHYSIOTHERAPY ASSOCIATION

Professional Body Representing Malaysian Physiotherapists

MPA

MPA Membership Application


New MPA Membership Registration For physiotherapists. Already a member? Please  CLICK HERE  to access member login page.

1. PERSONAL DETAILS
Please Enter Name.
Please Select Nationality.
Please Enter IC / Passport.
Please Select Gender.
Please Enter Address.
Please Select State.
Please Enter Postcode.
Please Select Country.
Please Enter Contact No.
2. WORK DETAILS
Please Select Highest Education Level.
Please Select Employment Status.
Please Select Job Sector.
Please Select Organization.
Please Enter Company Name.
Please Enter Company Address.
Please Enter Postcode.
Please Enter State.
Please Select Country.
Please Enter Office No.
3. ATTACHMENTS

Maximum file size: 3MB.
Photo: JPG / JPEG / PNG only. Certificate: PDF only. Employment Letter: PDF only.

Please Upload Photo.
Please Upload Certificate.
Please Upload Employment Letter.
4. LOGIN DETAILS
Please Enter Account Email.
Please Enter Password
Please confirm password
5. MEMBERSHIP & PAYMENT
Please Select Membership Type.
Please Select Membership Duration
Please Select Payment Mode.

Spouse name: