All you have to do is type the particulars into the form, print it, attach the required documents and send it to
NAWEM Secretariat. We will contact you regarding your application and membership fees.

1. Personal Particulars
Name:
Home Address:
Postcode:
Town/City:
State:
Country:
NRIC No.
(old)     (new)
Date of Birth:
Place of Birth
Marital Status:
Nationality:
Telephone:
(home)    (mobile)
Fax
   
Email:
2. Business Particulars
Name of Company
Own Business   Employee   Others, (pls specify  )
Business Address:
Postcode:
Town/City:
State:
Country:
Telephone (office):
Fax (office):
Email (office):
Website address:
Position in Company:
Nature of Business:
Year Business Started:
No. of Employees:
Paid-up Capital:
Equity Held:
Mailing address:
3. Qualifications (Academic, Professional, Professional or Trade Membership & Affiliations)

4. Business Experience

5. Membership Grade (pls refer to Membership Qualification)
I wish to apply for the following category:
Years in Business Grade Annual Fee Life Charter
5 yrs & above
Guild
RM150pa
RM1,500
RM500
2 yrs - 5 yrs
Ordinary
RM100pa
RM1,000
RM500
< 2 yrs
Associate
RM50pa
-
RM500
Not Applicable
Friends of NAWEM
RM50pa
- -
6. Documents
Please enclose all required documents to expedite approval:

(Items you wish to enclose with this form should be checked)
One passport-sized photograph
For Sdn. Bhd.
All documents below are to be certified by your Company Secretary.
     Form 24 (all copies)
     Form 49 (latest copy)
     Annual Returns (latest copy)
For Professional Firms
     Practicing Certificate
For Sole Proprietor
     Business Registration/Borang D
Your current name card(s)
Your cheque, to be made payable to "NAWEM" and crossed "A/C PAYEE ONLY" for:
Registration Fee RM20.00
RM    
RM
Friend of NAWEM (FON)
RM
Total Payable
RM
Cheque No.
Bank
Note:
Application submitted after July 1 need only pay half of the annual membership fee.
7. Proposer & Seconder
Proposer
    Membership No.
Seconder
    Membership No.

THIS IS NOT AN ONLINE FORM.
TYPE IN THE PARTICULAS & PROCEED TO PRINTING.
SIGN BELOW UPON PRINTING.

I declare that the particulars stated above are true. If my application for membership is accepted, I agree to abide by all the rules and regulations as stipulated in the By-Laws and the Constitution of the Association.

______________________________
Date

______________________________
Applicant's Signature

Please submit your application together with ALL relevant documents to the
Secretariat Office
   

Qualification

Application