Membership Form

Please use this form to apply for Ansara Lifetime Membership. The current membership fee is RM50.00 only. We will contact and inform you later on the payment mechanism available as online payment system is still in testing phase. You can fill-in the form below, scan and email the form to us together with payment receipt or you can pass the paper to your Batch Rep.

The fee is payable to:
ANSARA Kota Bharu
MaybankΒ 5621 88 103211

If you transfer via online banking, please kindly insert our email

*Form boxes will be updated soon

Please download here