Malaysian Psychiatric Association

Membership Application Form

Personal Information

Name

Date of Birth

Gender

NIRC/Passport No

Citizenship

Address Information

Home Address

Office Address

Contact Information

Telephone (H)

Telephone (O)

Handphone

Fax No

Professional Information

Occupation

Qualifications *

Qualification

Issuing Authority

Year Obtained

Membership

Proposer Name * Search by name or email

Account Security

Password

Confirm Password

Declaration

I hereby affirm my willingness to join the Malaysian Psychiatric Association and abide by its constitution. The above mentioned facts pertaining me are true and correct.

Notes

Ordinary membership and Life membership shall be open to all qualified psychiatrists who are Registered Medical Practitioners and who are citizens of Malaysia and actively engaged in full time practice of psychiatry in Malaysia.

Associate membership and Life Associate membership shall be open to all Registered Medical Practitioners, Allied Health professionals and para-medical workers with an interest in psychiatry and mental Health.
Proposer shall be active existing members of Malaysian Psychiatric Association.
Acceptance of applications is subject to the committee's approval.

Rule 5 of MPA Constitution

All subscriptions are payable within one month of acceptance as a member, except in the case of Life Members for whom the period may be extended to two months.
Subscription Fees:
- Ordinary Member: RM 100.00 (annually)
- Ordinary Member Life: RM 1,000.00
- Associate Member: RM 50.00 (annually)
- Associate Member Life: RM 300.00
These amounts are subject to change by the Association at its Biennial General Meeting.
Annual subscriptions shall be payable in advance before the 31st March in each year.
In the event of a member failing to pay the subscription for two consecutive years, his/her membership shall be deemed to have lapsed.
Lapsed membership may be reinstated with administrative costs to be determined by the committee.