The Malaysian Institute of Arbitrators

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M I A r b
THE MALAYSIAN INSTITUTE OF ARBITRATORS
INSTITUT PENIMBANGTARA MALAYSIA




*. : : Announcement : : .*

Membership Section - Application

The form is to be completed and returned together with a cheque of RM400.00 made payable to "The Malaysian Institute Of Arbitrators". In the event the Council decides that a candidate qualifies for election as a member of a higher category in accordance with the Rules then the candidate concerned shall be liable to pay the difference in the annual subscription fees between the categories upon formal acceptance. If the application is not accepted, payment will be refunded in full.

Application to be ASSOCIATE MEMBER FELLOW

First Name (Required)
Middle Name (Optional)
Last Name (Required)

Identity Card Number - For Malaysian Only (Required)
- - Passport Number - For Non-Malaysian Only (Required)
Name Prefered to be called (Required)

Phone Number (Required)
Facsimile Number (Optional)
Mobile Number (Optional)

Address (Required)

Address - Line 2 (Optional)

City (Required)
State (Required)
Postal/Zip Code (Required)

Country (Required)

E-mail (Required)

Proposer Membership No. (Optional)
Seconder Membership No. (Optional)

Tertiary Education and Degrees, Diplomas, Certificates Awarded in any field of study (Required)

Arbitration or Litigation Experience (if any), length of experience, capacity & extent of involvement (supporting details, documents and references should be enclosed) (Optional)

Membership of any Professional Trade, Industrial or other bodies, and positions held (Optional)

Present Profession (Required)

Please enclose a copy of your qualifications and certificates of membership from other professional bodies and a passport size photograph. Copies of documents sent together with this application must be certified by a member of the Institute, or any Advocate & Solicitor, or by a Commissioner for Oaths, or by an Officer of Court, or by a Division 'A' Officer in Government Service. (Required)
(Zip all your documents into 1 file)

I, the undersigned applicant, hereby declare and confirm that all the abovementioned facts and details are true and accurate.

I, the undersigned applicant, had viewed and agreed the Rules & Regulations for membership