MALAYSIAN PHYSIOTHERAPY ASSOCIATION

Professional Body Representing Malaysian Physiotherapists

MPA

Student Membership Application


New MPA Membership Registration For Students. Already a student 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. EDUCATION DETAILS
Please Enter Institute Name.
Please Select Institute Sector.
Please Select Education Level.
Please Enter Institute Address.
Please Enter Postcode.
Please Enter Institute State.
Please Select Country.
Please Enter Student ID.
Please Select Graduation Year.
3. ATTACHMENTS

Maximum file size: 3MB.
Photo: JPG / PNG only. Student ID: PDF only.

Please Upload Photo.
Please Upload Student ID.
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 Country.

Guardian name: