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.

Generated with Mad4Joomla Mailforms Version 1.2
* 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 *
Committee

Hover over the left image and enter the security code into the right textfield.
Copyright © 2017 The Malaysian Organisation of Pharmaceutical Industries. All Rights Reserved.
Powered by Netxtreme Onesolution Sdn Bhd