Unit Trust

REGISTRATION

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IMPORTANT NOTICE: Please read carefully.

Fill this form and you will be further advised on mode of payment
Membership fee � RM50 per annum

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Account Details
Login ID *	(Minimum 6 characters)
Password *	(Minimum 8 characters - alphanumeric)
Confirm Password *	(Minimum 8 characters - alphanumeric)
Password Hint *	(Type a word or a phrase to use as a password hint)

Personal/Company Details

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Full Name *

IC/Passport No. *

e.g. 778852-08-5523 (For Malaysian)

Staff ID.

Designation

Company Name *

Correspondence Address

Address *

State

Country *

Postcode *

Phone/Mobile Number *

Fax Number

E-Mail Address *

Industry *

Subject Of Interest *

I have read and understood the Notice

IMPORTANT NOTICE: Please read carefully.

Fill this form and you will be further advised on mode of payment
Membership fee � RM500 per annum

* Denotes a required field.

Company Details
Name of Organization *
Correspondence Address
Address *
State
Country *
Postcode *

Phone Number *	-
Fax Number *	-
E-Mail Address



Please nominate up to a maximum of three staff particulars

Staff 1 - Account Details
Login ID *	(Minimum 6 characters)
Password *	(Minimum 8 characters - alphanumeric)
Confirm Password *	(Minimum 8 characters - alphanumeric)
Password Hint *	(Type a word or a phrase to use as a password hint)

Upload Photo:

Please upload passport size photo with extension (.jpeg, .gif or .bmp)

Photo Preview

Full Name *

IC/Passport No. *

e.g. 778852-08-5523 (For Malaysian)

Staff ID.

Designation

Phone Number *

Mobile Number

E-Mail Address *

Subject Of Interest *

Staff 2 - Account Details
Login ID *	(Minimum 6 characters)
Password *	(Minimum 8 characters - alphanumeric)
Confirm Password *	(Minimum 8 characters - alphanumeric)
Password Hint *	(Type a word or a phrase to use as a password hint)

Upload Photo:

Please upload passport size photo with extension (.jpeg, .gif or .bmp)

Photo Preview

Full Name *

IC/Passport No. *

e.g. 778852-08-5523 (For Malaysian)

Staff ID.

Designation

Phone Number *

Mobile Number

E-Mail Address *

Subject Of Interest *

Staff 3 - Account Details
Login ID *	(Minimum 6 characters)
Password *	(Minimum 8 characters - alphanumeric)
Confirm Password *	(Minimum 8 characters - alphanumeric)
Password Hint *	(Type a word or a phrase to use as a password hint)

Upload Photo:

Please upload passport size photo with extension (.jpeg, .gif or .bmp)

Photo Preview

Full Name *

IC/Passport No. *

e.g. 778852-08-5523 (For Malaysian)

Staff ID.

Designation

Phone Number *

Mobile Number

E-Mail Address *

Subject Of Interest *

I have read and understood the Notice

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