Application Form for Associate Membership (Associations)

We, when elected an Associate Member of the Malaysia Organization of Pharmaceutical Industries (MOPI) agree to abide by the Articles of Association of MOPI.

Applicant to submit online or fax the membership form (to MOPI Secretariat) need to send required documents by POST to support their application in order for approval.

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* Required information.
Name of Association *
Address *
Ros Reg. No *
Date of Reg (DD / MM / YYYY)
Number of Members:
Entrance Fee (RM)
Annual Subscription (RM)
Name of Office Bearers (to update annually)
President *
D-President *
V-President *
Secretary *

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