Membership Form

Membership to MSSA is open to all retired scientists and technologists in Malaysia over the age of 55 years.. Memberships are also open to Malaysians working overseas but wish to retire in Malaysia.

There is a life time membership fee of RM100 payable to MSSA.

Please complete the application form below to be considered for membership.

Name	:
Address	:
Email	:
Telephone	:
Fax	:
Retired		Not retired
If you are retired, please fill in :-
Retired from	:
Date of retirement	:
Last appointment / position before retirement	:
If you are not retired, please fill in :-
Current company / institution	:
Highest Academic Qualification	:
Membership of Scientific / Professional Organisations	:
Professional qualifications / experiences	:
Area of expertise / research	:

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