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MEMBERSHIP APPLICATION FORM (Normal Individual Membership only)

I wish to apply to become a member of the Malaysian Evaluation Society. Please register me:

Note: For all other membership categories, please contact the MES Secretariat at: admin@mes.org.my

Full Name:
National ID Card No:
- - Age:
Office Address:
Home Address:
Telephone (office) :
          Fax (office):
Telephone (home) :
          Email:
Academic Qualifiaction:

Fill in all appropriate boxes. Fill in "N/A" if a box does not apply to you"

Diploma :
Basic Degree:
          Masters :
Ph.D. & Specialization:
Professional Qualifications:
Present Position:
Agency’s Name:
Information about present position and work:
Please provide some infor on how you are involved with evaluation:
Attached herewith is a cheque/bank draft/LPO being the registration fees of RM:

   

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