MEMBERSHIP APPLICATION FORM

Membership Form

Applicant Information

First Name

Last Name

Gender

Email

Date of Birth

Nationality

IC or Passport No

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Occupation

Types of memberships and fees

Membership type

Why I want to be WAIM Member

My Reason is:

Application is subject to approval by the executive committees

Signature

I declare that the information supplied in support of my application for membership is to the best of my knowledge, true and correct.

Verification