Registration | Parti Gerakan Rakyat Malaysia

PARTI GERAKAN RAKYAT MALAYSIA
Registration No. 373 (SELANGOR)

LEVEL 5, TOWER 1, MENARA PGRM
No. 8, JALAN PUDU ULU
CHERAS
56100 KUALA LUMPUR

1/6Please choose your desired type of membership/请选择您想要的会员类型

Entrance Fees RM 2.00 + 1 Year Subscription RM 2.00 / 入党费 RM 2.00 + 年捐 RM 2.00

Total: RM4.00

Entrance Fees RM 2.00 + 5 Years Subscription RM 10.00 / 入党费 RM 2.00 + 5年年捐 RM 10.00

Total: RM12.00

Entrance Fees RM 2.00 + Life Subscription RM 50.00 (One-time Payment) / 入党费 RM 2.00 + 永久党捐 RM 50.00 (一次缴付)

Total: RM52.00

* Membership Fees are non-refundable/会员费不予退还 Terms & Conditions
Privacy Policy
Refund Policy

2/6Please Fill in the State/Division/Branch/请填写州/区部/分部

3/6Please fill in your personal details/请填写您的个人资料

4/6Please provide your address details/请提供您的地址

Correspondence same as Resident/Office/邮寄地址与以上相同

5/6Please upload your NRIC & passport size picture (In Jpg Format)/请上传您的身份证和护照尺寸图片 (Jpg格式)

NRIC/身份证号码 Front Side/前页

NRIC/身份证号码 Back Side/后页

Passport Size/护照尺寸 Picture/图片

6/6Please provide your proposer details/请提供您的提议者资料

I, the undersigned whose particulars are given above, hereby apply to be a member of Parti Gerakan Rakyat Malaysia and i agree, if admitted, to comply with the constitution and the rules of the party, and to carry out the objectives programme, principles and policies to the best of my abilities. I declare that i am not a member of aony political party. /余谨以至诚，愿遵循马来西亚民政运动党章，条规，并致力于党的目标，政纲，原则及政策，而申请为党员，谨此宣誓，余非其他政党之党员。

1/6Summary

1
Application Details
- Membership Type/会员选项:
- State/州:
- Divison/区部:
- Branch/分部:
2
Applicant Details
- Name/姓名:
- Old NRIC/旧身份证号码 (e.g. A123456):
- New NRIC/新身份证号码 (e.g. 123456789012):
- Place of Birth/出生地:
- Date of Birth/出生日期:
- Gender/性别:
- Marital Status/婚姻状况:
- Correspondence Address/邮寄地址:
- Post Code/邮区号码:
- City/城市 :
- Telephone/电话:
- Mobile/手提电话:

3/6Summary

3
Applicant Details
- Resident/Office Address/住宅/办事处地址:
- Office Post Code/邮区号码:
- City/城市:
- Telephone/电话:
- Fax/传真:
- Email/电子邮件:
- Occupation/职业:
- Highest Education Attained/最高学历:
4
NRIC & Picture Details
- NRIC/身份证号码 (Front Side/前页):
- NRIC/身份证号码 (Back Side/后页):
- Picture/图片 (Passport Size/护照尺寸):

5/5Summary

5
Proposer(s) Details
- Proposer Name/提议人:
- Proposer Membership No/党员证号码:
- Seconder Name/附议人:
- Seconder Membership No/党员证号码:

Checkout：

1 Year Subscription / 年捐RM2

5 Years Subscription / 5年年捐RM10

Life Subscription / 永久党捐RM50

Entrance Fees / 入党费RM2

Total / 总计RM4

Total / 总计RM12

Total / 总计RM52