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GPPKM Committee
GPPKM Adviser & Member
Portfolio
News
Contact Us
Membership Application
Disclaimer Form
Home
GPPKM Committee
GPPKM Adviser & Member
Portfolio
News
Contact Us
Membership Application
Disclaimer Form
Membership Application Form
Company Name
Company Registration #
Nature of Business
Locksmith
Automotive Workshop
Security Professional
Technician
Car Accessories
Mechanical Door Lock & Hardware
Vendor / Distributor / Wholesaler
Other
Other Field
Company Address
Mobile Contact #
Company Email address
Email
Website (optional)
Applicant's full name as per IC
Applicant's IC #
Gender
Male
Female
Company SSM form 9 / Borang D, Borang A / B
Membership fee remittance slip (Locksmith fee RM300, Supplier fee RM1000)
Passport photo (4*3 ratio, prefer white background)
Introducer
Introducer Membership #
Send