ordinary member
I hereby apply to be an Affiliate Member of the Malaysian Association for the Advancement of Functional and Interdisciplinary Medicine and shall abide by its Rules and Regulations.
I also remit my first Annual Dues. ( Please forward your banking slip also to whatsapp https://wa.me/60123702118 or email info@maafim.org)
Full Name as in NRIC/Passport
Dr. Mr, Mrs. etc
Enrollment Fee RM1,000.00
Annual Fee (next year) RM100.00
Total Payable RM1,000.00