Welcome to PERINTIS member registration form page.
To learn more about types of membership please visit the membership information page or use the link at the top: MEMBERSHIP -> Information.
This is NOT for PERINTIS website user registration. For PERINTIS user registration, please click here.
- Log in/Register with PERINTIS website (Recommended).
- Please fill in the form carefully.
- All labels with the asterisk (*) are required.
- Application will be processed after receiving proof of payment.
- For further inquiries please contact: email@example.com
Please let us know once payment is made as per the instruction below:
Payment for membership can be made to (Direct Bank In):
Persatuan Saintis Muslim Malaysia
Account Number: 12092010033214 (Bank Islam Malaysia Bhd).
Please scan and email receipt or sms proof of payment to the treasurer:
firstname.lastname@example.org or kindly call 019 250 2420.