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Full Name (as in IC)

New IC Number / MyKAD

Old IC Number (if any)

Gender

Male Female

Marital Status

Bachelor Married Single Parent

Mobile Phone

Home Address (Complete)

Home Phone (if any)

State

Birth Place (District & State)

Employer Name & Address (if any)

Employer Tel. Number (if any)

Type Membership (Select Your Option Below)

IF YOUR MEMBERSHIP TYPE ABOVE IS CORPORATE ONLY!
(Fill up below and submit your minute meeting for our verification)

NAME OF COMPANY / ORGANISATION / SOCIETY

Co. Registeration Number

Registeration Date (If corporate only!)

Registered Address

Minute Meeting Attachment (If corporate only!)

PAYMENT INFO & VALIDATION

Bank Account:
Persekutuan Lompat Tali Malaysia
21412900160830 (RHB Bank)

Payment Status

Paid Not Yet

Proof of Payment attached (if already paid)

Payment Date (if payment was made.)

I hereby confess the information given are all corrects and true.

MYJuRF

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FAST & EASY

Online Registration

Malaysian Jump Rope Federation

( MYJuRF )

Become MYJuRF Member?

Our Activities

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MYJuRF

Become A Member?

FAST & EASY

Online Registration

Malaysian Jump Rope Federation

( MYJuRF )

Become MYJuRF Member?

Our Activities

Scan This Page

Your form has been submitted. Please check your email (inbox or spam box as well) for your copy.

Your form has been submitted.

Please check your email (inbox or spam box as well) for your copy.