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 firstname.lastname@example.org together with payment receipt or you can pass the paper to your Batch Rep.
The fee is payable to:
ANSARA Kota Bharu
Maybank 5621 88 103211
If you transfer via online banking, please kindly insert our email email@example.com
*Form boxes will be updated soon
Please download here