MALAYSIAN PHYSIOTHERAPY ASSOCIATION (MPA)

EDIT MEMBERSHIP

Update Member Details

Home / Manage Members / Edit Details

1. PERSONAL DETAILS

Full Name (As Per IC / Passport) *

Please Enter Name.

IC / Passport *

Please Enter IC / Passport.

Please Enter Email.

Nationality *

Please Select Nationality.

Gender *

Please Select Gender.

Address *

Please Enter Address.

State *

Please Select State.

Postcode *

Please Enter Postcode.

Country *

Please Select Country.

Contact No *

Please Enter Contact No.

Highest Education *

Please Select Highest Education Level.

2. WORK DETAILS

Employment Status *

Please Select Employment Status.

Job Sector

Please Select Job Sector.

Organization *

Please Select Organization.

Company Name

Please Enter Company Name.

Office Address

Please Enter Company Address.

Postcode

Please Enter Postcode.

State

Please Enter State.

Country *

Please Select Country.

Office No

Please Enter Office No.

3. UPDATE ATTACHMENTS

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

Recent Photo

Please Upload Photo.

[ View Current Photo ]

Official Certificate (Physio)

Please Upload Certificate.

[ View Current Certificate ]

Employment Letter (For international members)

Please Upload Employment Letter.

UPDATE PASSWORD

* UPDATE MEMBERSHIP APPLICATION

Payment Date

2026-01-07

Membership Type

Ordinary Member

Active Until

2028-01-07

Duration

2 Year(s)

Payment Mode

iPay88

Pay Proof

Grand Total

RM
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