Membership Registration Form

For Membership Fees, payment can be made direct to our bank account.
Registration Fee (one time) RM 100,
Annual Fee : RM50
Once payment made please attached the receipt.

Account Name : Persatuan Haiwan Terbiar Malaysia (SAFM)
Account Number : 100040234095
Swift Code : AIBBMYKL

    A. Personal Information




    B. Emergency Contact

    C. Involvement With Other NGO

    (Please skip this section if this is your first registration in an NGO)

    D. Membership Fees

    E. Acknowledgement

    1. I acknowledge that all the details and information provided in my application form are true, correct and complete.
    2. I have never been involved in any criminal case.
    3. I have never been involved in the distribution or abuse of drugs.
    4. I agree to be bound by and comply with the rules and regulations of Persatuan Haiwan Terbiar Malaysia (SAFM)