Malaysian Healthy Ageing Society

Live Long Live Well

WANT TO BE A MEMBER

of MHAS, just click the link below

Online Membership Registration Form

integrative approach towards healthy ageing for all

1st WCHA 2012

Click Here to register as a Delegate

ORGANISED BY

CO-SPONSORED BY

Scientific Programme

Newspaper Articles

Live to a healthy 90, but how?

Article on Liver

Effort to Help the Aged

Is there Life after 50?

Keeping Seniors Occupied

Staying Young

Work is his Tonic

Community Programme 2011

Empowering the Elderly

Indepth knowledge and understanding

in managing the elderly

GOOD NEWS FOR NURSES

10 CPD points

MHAS Archives Events

Click here to see full List

or click on the year

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2008 2009 2010

Online Membership Registration

Malaysian Healthy Ageing Society

Registrar of Society No. 1384

If you have any problems filling this form or wish to have more information about the society and its activities,

please browse our website or call 03-2070 5600 or click here to send us an email

NRIC is required for submission to the Registrar of Societies

Family (Last) Name: *

First Name or Initials: *

Institution/Company:

NRIC Card No.: *

Gender: *

Male

Female

Department:

Designation:

Title (Mr/Ms/Dr/Prof, etc): *

Correspondence Address: *

Town/City: *

Postcode: *

State: *

Home Telephone:

Office Telephone:

Mobile Telephone:

Email Address: *

Type of Membership: *

Ordinary Member RM25.00 (for healthcare professionals)

Associate Member RM25.00 (for members of the public)

Corporate Member RM2,500.00 (for companies/organisations)

Field of Interest: *

If the list above does not have your area of interest, please indicate below

Other areas of interest:

Membership Details

Please indicate by selecting the appropriate category and send a cheque or postal order to

Malaysian Healthy Ageing Society

Age Range: *

Field of Interest

Please select not more than 5 fields of interest so that we may keep you informed

of any talks or literatures available on these topics

Acceptance: *

Decline

I declare that the particulars given above are correct and agree to abide by the Rules of the Society

Facsimile No.:

Payment Method: *

Cheque by Post

Cheque Bank-in

Cash Bank-in

Interbank Transfer

Payment information for membership

Cheque, Interbank Transfer & Cash Bank-in should be made payable to Malaysian Healthy Ageing Society. CIMB Bank Berhad, Bangsar Branch, Account No. 14220000117105
Please add 50 sen for bank commission on outstation cheques.
DO NOT send cash by post.
Cheque payment by post should be mailed to Suite 2.8, 2nd Floor, Wisma OCM, Jalan Hang Jebat, 50150 Kuala Lumpur.
Please fax a copy of your bank-in slip to 03-2072 5600 or post it to Suite 2.8, 2nd Floor, Wisma OCM, Jalan Hang Jebat, 50150 Kuala Lumpur

If you have already prepared your cheque, you can indicate the details below, for our reference

Bank:

Please indicate issuing bank

Note:

Acceptance of application is subject to the committee's approval.
All applicants are requested to send completed application forms.
Annual subscriptions shall be payable in advance before 31st March in each year.
In the event a member failing to pay the subscription for two consecutive years, his/her MEMBERSHIP SHALL BE DEEMED TO HAVE LAPSED.
Lapsed membership may be reinstated with administrative costs to be determined by the committee.
The decision of the committee shall be final.

Date of Issue:

Cheque No.:

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The information provided on this site is for informational purpose only and is not intended as a substitute for advice from your physician or other healthcare professional or any information contained on or in any product label or packaging. You should not use the information on this site for diagnosis or treatment of any health problem or for prescription of any medication or other treatment. You should consult with a healthcare professional before starting any diet, exercise or supplementation program, before taking any medication, or if you have or suspect you might have a health problem. You should not stop taking any medication without first consulting your physician.