Membership

Information of the Representative

First Name:^*

Last Name:^*

NRIC / Passport No.:^*

Designation:^*

Nationality:^*

Date of Birth:^*

Personal Email:^*

Personal Mobile:^*

Personal Address:^*

Document Submission

Photocopy of company registration forms under the Suruhanjaya Syarikat Malaysia (SSM) (Form 8 / 9 / 24 / 49) - if applicable.
Photocopy of personal ID card of the proprietor / managing director / chairman of the company.
Passport size picture of the proprietor / managing director / chairman of the company.

Membership Fee

Registration Fee (one off)	RM 100.00
Annual Subscription Fee (recur annually)	RM 400.00
Lifetime subscription Fee (one off)	RM 2,900.00

Payment Details

Bank Account Name:	PERSATUAN ENIAGA MALAYSIA
Bank Name:	Public Bank
Bank Account Number:	3201183833

Please Check to Approve:^*
I declare that the facts stated in this application form and the accompanying information are true and correct and that I have not withheld/distorted any material facts. I understand that if I obtain the approval status by false or misleading statements, and if found engaging businesses which are prohibited by the laws, eBAM may, at its discretion, withdraw the membership status without further notice. I also understand that I have to pay my membership registration fee and subscription fee on time and all fees made to eBAM is not refundable.

Membership

Company Information

Information of the Representative

Document Submission

Membership Fee

Payment Details