Membership Application Form


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NATIONAL COMMITTEE OF CIE (NCCIE) MALAYSIA
No. 5-B, Jalan Gelugor, Off Jalan Kenanga, 55200 Kuala Lumpur, Malaysia.
Tel: +603-9221 4417/9221 2091    Fax: +603-9221 8212
E-mail: secretariat@mycie.org.my
Website : www.mycie.org.my
 
Malaysia CIE (MyCIE) Membership
Yes, I am interested to participate in the Malaysia CIE.
Name: *
IC No: *
Date & Place of Birth: *
Residential Address: *
Tel: *
Fax:
E-mail: *
Mobile:
Qualification: *
Experience (you may wish to attach your CV):
Correspondence Address:
(if different from above)
Employer:
(Name of Company)
Designation:
Type of Business:
I am interested to participate and willing to contribute in the following division (s) of CIE: (Please tick in the appropriate box)
Division 1: Vision and Colour
Division 2: Measurement of Light and Radiation
Division 3: Interior Enviroment and Lighting Design
Division 4: Lighting and Signalling for Transport
Division 5: Exterior Lighting and Other Applications
Division 6: Photobiology and Photochemistry
Division 8: Image Technology
ENTRANCE FEE & SUBSCRIPTION

All payments of Entrance Fee and the Annual Subscription, payable in advance will be levied as follows:
 
ENTRANCE FEE
ANNUAL SUBSCRIPTION
(i) Individual Membership (Associate Member) NIL RM 100.00
(ii) Company Membership (Ordinary Member) RM 400.00 RM 300.00
 
Entrance Fee and the first year's Subscription are payable on registration, and subsequent years' Subscription is due and payable on 1st January of each year. Payment to be made to "The Electrical and Electronics Association of Malaysia".
 
 
Applicant's Signature:
 
Name:
Date: