Perdana Library Membership Form

Perdana Library Membership Form
Name*

First NameLast Name
National Registration Identity Card (NRIC) / Passport No*
Eg: 890706-10-1111 for NRIC
E-mail*

Confirmation EmailPlease make sure that your e-mail address is correct
Nationality*
Malaysian Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postcode
Mobile No
Organisation / School / University / Company
Type of Membership*
The paid membership (RM10 per annum) allows you to borrow books from our open shelves.
Membership Payment (for Paid Membership)

I wish to pay for membership via PaypalI will make payment at the Perdana Library counter
Payment via Paypal
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Annual Membership10.00MYR

Total 0.00MYR
By submitting this form, I hereby acknowledge that all information provided herein is true and correct. I agree to abide by the rules and regulations of the Perdana Library.
Perdana Leadership Foundation abides by the Personal Data Protection Act (PDPA) of Malaysia. The information provided will not be shared with a third party without your express consent.
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