Perdana Library Membership Form

Perdana Library Membership Form
Name *

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

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

Street Address

Street Address Line 2

City State / 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 Paypal I will make payment at the Perdana Library counter
Payment via Paypal
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Annual Membership 10.00 MYR

Total 0.00 MYR
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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