REGISTRATION
Personal Details
Additional Details
Share Details
Declaration
Complete
HONORARY MEMBER´S APPLICATION FORM
Our recent AGM dated 19th September 2020 has approved for KAPB to extend their cooperative membership known as `Honorary Member´ to individuals, entities, companies, businesses and other cooperative.
More details.
In order to register with KAPB, new member is compulsory to have
CIMB BANK
account. Click to open
CIMB Direct Debit Service Instruction Form
.
Personal Details
Name
(As per NRIC/Passport)
*
:
NRIC
*
:
Date of Birth
*
:
Gender
*
:
Male
Female
Race
*
:
Malay
Indian
Chinese
Others, Please specify
Nationality
*
:
Malaysia
Bumiputera
Non-Bumiputera
Non-Malaysia
Country
Visa Type
Code
Visa Document Number
Visa Expired Date
Residency Status
*
:
Resident
Permanent Resident
Malaysia My 2nd Home
Non-Resident, Please specify Country of Residence
