Ordinary Membership Registration

All registration and renewal procedures can now be completed online. Online payment is supported.

Fields marked with * are mandatory.

Secure Submission

Online Processing

Document Upload

Application Overview

This form is divided into sections. You can scroll normally — the sidebar is a guide.

PersonalName, gender, contact

MAHPCLicense + supporting doc

EducationLevel + certificate

WorkSector, state, specialty

DirectoryListing consent

AccountUsername, password, avatar

If MAHPC = Yes, Registration Number and Certification upload will appear automatically.

1) Personal Information

Required

Full Name *

Gender *

Email *

Date of Birth *

IC Number (Without -) *

Typing IC will auto-fill Username later.

Phone Number *

Postal Address *

2) MAHPC Information

Conditional

Do you have a valid MAHPC annual practicing license? *

3) Education Information

Required

Level of Education *

Academic Qualification *

Academic Certification *

Choose File

4) Work Information

Required

Workplace *

Position *

Sector *

States *

Area of Specialty *

5) Listing in Directory *

Required

Do you want to be listed in directory?

6) Create Member Account

Required

Username *

Password *

Avatar *

Choose image