Malaysia Norway Business Council
C/o Royal Norwegian Embassy
P.O. Box 10332, 50710 Kuala Lumpur
Telephone +(60)3 2175 0300, Telefax +(60) 3 2175 0308, Mobile +(6) 017 602 9013
Web: www.mnbc.com.my, E-mail:
malaysianorwaybc@gmail.com 

 

MEMBERSHIP APPLICATION FORM
(Individual Member)

 

     
 I      ________________________________________________________ (Name)
hereby apply to become an individual member of the Malaysia Norway Business Council and I agree on acceptance to bound by the Memorandum and Articles of the Association, and rules and regulations of the Council for the time being in force.
Nationality:  _______________________ Occupation:  ___________________________
 
Name of employer/
Business  
_________________________________________________________________
       
Address of
employer/
Business:
_________________________________________________________________

_________________________________________________________________

       
Telephone:  _______________

 Telefax:  _______________

 E-mail:  _________________

 
Corr. address
(if diff. from above)
_______________________________________________________________
 
_______________________________________________________________
       
Date: _______________________    
 
Signature: ______________________________________  
 

 

     
Note (I) Application must be accompanied by an Entrance fee of RM375 and Annual fee of RM250, totaling RM625.
Note (II) All drafts/cheques should be crossed and made payable to Malaysia Norway Business Council.
 
Please send the form by mail or fax to Malaysia Norway Business Council.