MALAYSIAN
PHYSIOTHERAPY ASSOCIATION
Professional Body Representing Malaysian Physiotherapists
   

Important Announcement
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New Membership Registration For MPA
 
Section 1 - Personal Details
     
Name * IC / Passport *
* Please keyin without "-"
Citizenship * Gender *
Address * State *
Postcode * Country *
Contact No * Email *
       
       
       
Section 2 - Work Contact Details
       
Employment Status * Sector
Company Name Address
State Postcode
Country Office Cont No
       
       
       
Section 3 - Attachments
       
Recent Photo *
* only jpg / png
Certificate (Physio) *
* only jpg / png / pdf
       
Employment Letter *
* only jpg / png / pdf
   
       
       
       
Section 4 - Membership & Payment
* Additional RM200 processing fee will be charged for foreign members
Membership Type * Registration Fee
Select Duration * Membership Fee
Payment Method * GST (6%)
     
    Grand Total
       
 
 
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