INNS -/COURT ~/ MALAYSIA MEMBERSHIP FORM SECTION I: MEMBER CONTACT INFORMATION pout CM OMe CMs CMs ClOthers. rrr oro acon repr ees) MOBILE PHONE Porreeey Sr oLad rad enc COI PCr ears Pore Pues Dents Rec ey SECTION 2: MEMBERSHIP TYPE AND PAYMENT DETAILS. Dee eed Coad Praag DUES a Mabyean tient who have obtined a recognised Iw degree or ice ‘equivalent, subject tothe discretion ofthe Executive Commitee are elighle aM 300 {for Ordinary Membership. rad Cie steer) NNon-Malaysine who have obtained a recognised law degree or ts ‘equivalent, subject tothe diereton ofthe Exacutve Committe, are eligible aM 300 for Associate Membership. Peat) Crareeen RM 50 (forthe entre period of, Manysianctizens and nor-Malaysian citizens who are pursuing a recognised | studentship. Upon Taw degree or ts eauvalent are aligble for Suident membersho, valid only | graduation the student for the petiod of his or her studenship, subject to he eseration of the | member wil pay R250 Executive Commitee Tobe upraded to fall Ordinary 1 Assocate ‘Membership sts) eo (Niele LI Personal Chee em SECTION 3: ACADEMIC BACKGROUND {Kindly enclose copies of your Certificates with your application) us Corners. ~ DEGREE ‘YEAR OBTAINED. sess even LUNIVERSITY / INSTITUTION. um — Corners. - ‘YEAR OBTAINED. Comasrens. UNIVERSITY / INSTITUTION, Od Con otHers. ‘YEAR OBTAINED. UNIVERSITY / INSTITUTION, Cane ‘YEAR OBTAINED: (QUALIFICATIONS. CNT INSTITUTION:INNS COURT MALAYSIA The personal information that you provide to INNS OF COURT MALAYSIA (ICM), whether now or in the future, may be used, recorded, stored, disclosed or otherwise processed by or on behalf of ICM for the purposes of processing your application and dealing with you as a member, facilitation and organisation of events, research, audit and other ancillary services as may be relevant, and maintenance of membership database. | declare and certify that che above information is crue to the best of my knowledge. | undertake to abide by the Constitution, Rules, the Bylaws and CCode of Ethics of the INNS OF COURT MALAYSIA (ICM) as at present and as may be amended from time to time as allowed by the Constitution and Rules. I further agree to be bound by the decision of the Executive Committee concerning my application for admission Signature of Applicant: Date: (fo ensre spedy procesing kindy ence copy of enti CorPaxspor fond leant depres Certfcates wth our appa) Bank details for payment “To pay by cheque: Send a cheque nade payable co: Inns of Court Malaysia ‘Account Name: lone of Cour Maya [Name of Barks Maybank Berhad Account No: $66010619921 kindly send your documents and cheque or remittance advise to V2-08-05,Linglaran SV, Sunway Velocity, alan Pel, Mali, $5100 Kuala Lumpur, Malaysia Regardless of payment method used, please emalla copy of your membership form to incfeourumalaysa@pral com and. legal@oskim.com