Registration must be accompanied with RM60.00 (Sixty Ringgit Only) for entrance and annual subscription fee. Made payable by cheque to "Knowledge Management Association of Malaysia"

New IC No*

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Old IC No

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Date of Birth

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01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December

Place of Birth

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Gender

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Male Female

Race

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Malay Indian Chinese Others

Academic Qualification

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Designation*

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Name of Company/Agency

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Type of Business

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Present Office Address

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Present Home Address *

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Office Phone

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Mobile Phone*

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E-mail Address*

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 *These are required field