Welcome to PJBM New Member Registration section. Before make an online registration, make sure that you have read the details together with the registration step at the ‘Overview’ section. NEW MEMBERSHIP ONLINE APPLICATION FORM Upload Passport-sized Photo Upload Upload requirementsOne file only.2 MB limit.Allowed types: gif, jpg, png, svg. Name (Nama) Ic / Passport Number (Nombor Kp / Pasport) Home Address (Alamat Rumah) Office Address (Alamat Pejabat) E-mail Address (Alamat E-mel) Mobile Number (Nombor Tel Mudah Alih) Office Number (Nombor Tel Pejabat) Particulars Of Next Of Kin Nama Pewaris Name (Nama) Ic Number (Nombor Kp) Telephone Number (No Telefon) Address (Alamat) Courses/seminar Attended (Kursus/seminar Dihadiri) Courses/seminar Attended (Kursus/seminar Dihadiri) Courses/seminar Attended (Kursus/seminar Dihadiri) Courses/seminar Attended (Kursus/seminar Dihadiri) Courses/seminar Attended (Kursus/seminar Dihadiri) Current Team (Pasukan Terkini) Language Spoken (Bahasa Digunakan) Academic Qualification (Pencapaian Akademik) Highest Certificate No (No Sijil Tertinggi) Year (Tahun) Year Year1960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Instructor’s Name (Nama Instruktor) Supporting Documents To Be Upload: Copy of IC / Passport Upload Upload requirementsOne file only.10 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Copy of Coaching Certificates Upload Upload requirementsOne file only.30 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Proof of Payment Upload Upload requirementsOne file only.30 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. What code is in the image? Enter the characters shown in the image. Submit
