ALL fields are required to be completed.

Your Correspondence Details

Please print clearly in English using Address
BLOCK LETTERS and where appropriate.
If you are already an Enrich Member,
please fill in your membership number:

M H City
Your Personal Details
Title Mr Mrs Ms State/Province
Others (indicate below)
Postal Code

Last Name/Surname (as shown in your passport) Country

Join the GRADS e-community

First Name/Given Name (as shown in your passport) I hereby agree to receive communication via email.

Your Agreement
I hereby apply to become a Member of GRADS and
Nationality agree to abide by the Terms & Conditions of Membership
as published by Malaysia Airlines and as may be
Passport No. amended or supplemented from time to time.
This agreement is not valid unless signed below.
I/C No. (if applicable)

Date of Birth (dd-mm-yyyy)

Signature Date
Gender Male Female
Please complete Section B if your Student ID/Matric card
College
does not indicate month and year of study or whether you
are a full-time student, or if you do not have an offer letter.

Course Section B – To be completed by the Principal/Registrar

I,
Principal/Registrar of the School/College/University of
Year of Study the applicant stated above, do herewith certify that the
applicant is a full-time student and will remain so until
(month) (year).
Your Contact Details (Date of completion of studies)
Mobile
Country Code Area Code

Phone No.

Phone Authorised signature Date

Country Code Area Code

Phone No.
Email Address

Official stamp