Application Form Personal Membership

PLEASE COMPLETE IN BLACK, BLOCK LETTERS

Name
Nama

NRIC / Passport
No KP / No Passport

Home Address
Alamat Rumah

Telephone no
No Telefon

Email Address
Alamat E-mel

Sex
Jantina

Date of Birth
Tarikh Lahir

Place of Birth
Tempat lahir

Nationality
Kerakyatan

Qualifications / Experiences
Kelayakan / Pengalaman

Please send your latest CV and copies of qualifications by email to inquiry@wim.org.my and welding.institute@wim.org.my
Sila sertakan resume anda terkini dan sijil-sijil kelayakan ke alamat e-mel inquiry@wim.org.my dan welding.institute@wim.org.my

Employer's Name /Address
Kelayakan / Pengalaman

Job Title
Jawatan

Tel Office No
No Tel Pejabat

Fax No
No Faks

Company Nature of Business
Jenis Perniagaan

Company's Email Address
Alamat E-mel Pejabat

FOR STUDENT MEMBERSHIP
UNTUK KEAHLIAN PELAJAR

Course of Study
Bidang Pembelajaran yang Diambil

Year of Study
Tahun Pembelajaran

Date of Graduation
Tarikh Pengijazahan

Qualification Achieved
Tahap Pelajaran

Name of University / College
Nama Universiti / Kolej

Address
Address

Telephone No
No Telefon

Fax No
No Fax

Email Address
Alamat E-mel

The above student is allowed to join the institute. / Adalah dimaklumkan bahawa pelajar ini dibenarkan menjadi ahli dengan persatuan ini.

Name
Nama

Designation
Jawatan

University / College chop & sign

Date
Tarikh

FEES

PAYMENT

Direct bank-in HONG LEONG BANK account No: 27800006087 (remittance slip emailed to you)
Terus melalui HONG LEONG BANK akaun no 27800006087 (slip pengiriman wang di emel kepada anda)

OR
atau

Please invoice us
Sila invois kepada kami

NOTE: All payments are to be made out by crossed cheque, bank draft or e-banking to 'Welding Institute (Malaysia) Bhd". All applications must be accompanied with the appropriate payments. (Pembayaran melalui cek hendaklah dipalang dan ditulis di atas nama "Welding Institute (Malaysia) Bhd". Segala permohonan hendaklah disertakan dengan pembayaran yang sesuai.)

I hereby accept responsibility to all the rules and regulations of membership and for the accuracy of the particulars contained in this application form.If any incorrect or false information is given herewith, this application will automatically be null and void. (Saya dengan ini mengaku bahawa segala butir-butir yang diberi adalah benar dan akan bertanggungjawab sekiranya maklumat yang diberi adalah tidak benar permohonan ini akan terbatal serta merta)

Date
Tarikh

Please return to : Welding Institute (Malaysia) Bhd (662234-U)
No.1, Jalan Utarid U5/13, Section U5, Bandar Pinggiran Subang, 40150 Shah Alam, Selangor Darul Ehsan, Malaysia
Tel : 603-7848 1018 / 603-7848 1028 Fax : 603-7848 1010
Email : inquiry@wim.org.my
welding.institute@wim.org.my

Benefits of Membership

Technical information and guidance on welding, joining, inspection and allied technologies through the quarterly WIM newsletter, a dedicated WIM web site and other social media e.g. Facebook
Special discounts for attending training courses, which are organized regularly
Free attendance for attending WIM technical talks/seminars and access to all papers presented.
For Corporate Members - allocation of free advertising in WIM's website
Guidance and advice on how to plan, record and receive recognition for professional and career development.
Professional status - a recognized mark of attainment for engineers, technicians and others involved in welding, joining and related activities.
Networking with companies and individuals in the field of welding, joining, inspection and other technologies.
A 'Certificate of Membership' for Corporate Members and 'Membership Card' for individual Members to confirm status.