Membership Type
Ordinary MemberLife Member (RM 1,000.00)

Name of Company

Company Registration Date

Company Registration Number

Please attach Form 24, Form 49 or Company Registration Certificate. File size: > 2MB | File format: pdf or jpg only

Correspondence Address

Company Phone Number

Company Email

Website

Nature of Business
Foundry/Die Casting/ForgingMould & Die ManufacturingMachinery Parts & Components ManufacturingMachinery & Equipment ManufacturingConstruction Materials ManufacturingSteel Fabrication & Welding WorksElectroplating & Metal Surface TreatmentMetal StampingPrecision EngineeringHeat TreatmentHydraulic SystemDiesel Fuel Pump ServicesTrailer AssemblyVehicles/Tractors Repair & MaintenanceCrane/Hoist ServicesOthers

Please Specify Other Nature of Business

Particulars of Company Representative

Name

NRIC Number

Gender
MaleFemale

Designation

Contact Number

Email

Fees

• Entrance Fee: RM 200.00

• Annual Subscription: RM 250.00

• Welfare Fund: RM 100.00

• Life member is exempted from payment of Entrance Fee and Annual Subscription

Cheque or bank transfer made payable to "THE PERAK FOUNDRY AND ENGINEERING INDUSTRIES ASSOCIATION" together with the submission of this eform.

We understand & agree to the terms & fees
We agree to abide by the Rules, Regulations and all Resolutions of the Association

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