Daftar Ahli/ User Self-Registration
The fields in
*
are required fields
Sila gunakan huruf BESAR
Nama/Name
*
No. Kad Pengenalan/IC
*
Tarikh Lahir/D.O.B
*
Alamat/Address
*
Negeri/State
*
A001 - IPOH
A002 - TAIPING
A003 - TELUK INTAN
A004 - SUNGAI SIPUT
A005 - KUALA KANGSAR
A006 - LUMUT
A007 - BATU GAJAH
A008 - TANJUNG MALIM
A009 - SETIAWAN
A010 - ARAU
B001 - SHAH ALAM
B002 - PETALING JAYA
B003 - BANGI
B004 - BANTING
B005 - CYBERJAYA
B006 - KAJANG
B007 - KLANG
B008 - KUALA SELANGOR
B009 - KUALA KUBU BARU
B010 - PUCHONG
B011 - PORT KLANG
B012 - RAWANG
B013 - SEPANG
B014 - SUBANG JAYA
B015 - CHERAS
B017 - SUNGAI PELEK
B018 - SEMENYIH
B16 - BERANANG
C001 - KUANTAN
C002 - BERA
C003 - BENTONG
C004 - CAMERON HIGHLAND
C005 - JERANTUT
C006 - KUALA LIPIS
C007 - MARAN
C008 - PEKAN
C009 - RAUB
C010 - ROMPIN
C011 - TEMERLOH
C012 - BENTA
D001 - KOTA BHARU
D002 - PASIR MAS
D003 - TUMPAT
D004 - Pasir Puteh
D005 - Bachok
D006 - Kuala Krai
D007 - Machang
D008 - Tanah Merah
D009 - Jeli
D010 - Gua Musang
J001 - JOHOR BAHRU
J002 - TAMPOI
J003 - SKUDAI
J004 - SENAI
J005 - KULAI
J006 - PASIR GUDANG
J007 - LAYANG-LAYANG
J008 - PONTIAN
J009 - PEKAN NENAS
J010 - KUKUP
J011 - AYER BALOI
J012 - BENUT
J013 - SIMPANG RENGGAM
J014 - RENGIT
J015 - SENGGARANG
J016 - BATU PAHAT
J017 - AYER HITAM
J018 - PARIT SULONG
J019 - PARIT SEMERAH
J020 - YONG PENG
J021 - MUAR
J022 - PAGOH
J023 - PARIT JAWA
J024 - BUKIT PASIR
J025 - SUNGAI MATI
J026 - BUKIT GAMBIR
J027 - SEGAMAT
J028 - JEMENTAH
J029 - LABIS
J030 - KLUANG
J031 - KOTA TINGGI
J032 - MERSING
J033 - ENDAU
J034 - ULU TIRAM
J035 - GEMAS
J036 - GERISEK
J037 - CHAAH
J038 - MASAI
J039 - KAHANG
J040 - KUKUP
J041 - PARIT RAJA
J042 - TANGKAK
J043 - PANCHOR
J044 - PALOH
J045 - GELANG PATAH
J046 - KEMPAS
J047 - ISKANDAR PUTERI
J048 - KANGKAR PULAI
J049 - LEDANG
J050 - BANDAR PENAWAR
J051 - NUSAJAYA
K001 - ALOR STAR
K002 - Baling
K003 - Bandar Baharu
K004 - Kota Setar
K005 - Kuala Muda
K006 - Kubang Pasu
K007 - Kulim
K008 - Pulau Langkawi
K009 - Padang Tetap
K010 - Pendang
K011 - Sungai Petani
K012 - JITRA
K013 - POKOK SENA
M001 - Melaka
M002 - Alor Gajah
M003 - Masjid Tanah
M004 - Jasin
M005 - Merlimau
M006 - Pulau Sebang
M007 - Ayer Keroh
MO8 - MELAKA TENGAH
N001 - Seremban
N002 - Jelebu
N003 - Jempol
N004 - Kuala Pilah
N005 - Port Dickson
N006 - Rembau
N007 - Tampin
NOO8 - Gemencheh
P001 - Georgetown
P002 - Seberang Prai
P003 - Batu Ferringhi
P004 - Balik Pulau
P005 - Sungai Ara
P006 - BUKIT MERTAJAM
P007 - BUTTERWORTH
P008 - SEBERANG JAYA
P009 - PERAI
P010 - BAYAN LEPAS
R001 - Kangar
R003 - Padang Besar
S001 - MIRI
S002 - KUCHING
T001 - Kuala Terengganu
T002 - Dungun
T003 - Besut
T004 - Setiu
T005 - KEMAMAN
T006 - MARANG
T007 - HULU TERANGGANU
W001 - KUALA LUMPUR
W002 - PUTRAJAYA
W003 - Labuan
W004 - AMPANG
X001 - Kota Kinabalu
X002 - Tawau
X003 - Sandakan
X004 - Lahad Dato
X005 - Sibu
X006 - SARAWAK
Y001 - Kuching
Y002 - Bintulu
Y003 - Miri
Z001 - Singapura
T008 - JERTEH
T009 - CHUKAI
A011 - KAMPAR
P011 - AYER ITAM
A012 - KANGAR
Poskod/PostalCode
*
Alamat Surat-Menyurat sama dengan alamat diatas
Alamat Surat-Menyurat
Negeri Surat-Menyurat
A001 - IPOH
A002 - TAIPING
A003 - TELUK INTAN
A004 - SUNGAI SIPUT
A005 - KUALA KANGSAR
A006 - LUMUT
A007 - BATU GAJAH
A008 - TANJUNG MALIM
A009 - SETIAWAN
A010 - ARAU
B001 - SHAH ALAM
B002 - PETALING JAYA
B003 - BANGI
B004 - BANTING
B005 - CYBERJAYA
B006 - KAJANG
B007 - KLANG
B008 - KUALA SELANGOR
B009 - KUALA KUBU BARU
B010 - PUCHONG
B011 - PORT KLANG
B012 - RAWANG
B013 - SEPANG
B014 - SUBANG JAYA
B015 - CHERAS
B017 - SUNGAI PELEK
B018 - SEMENYIH
B16 - BERANANG
C001 - KUANTAN
C002 - BERA
C003 - BENTONG
C004 - CAMERON HIGHLAND
C005 - JERANTUT
C006 - KUALA LIPIS
C007 - MARAN
C008 - PEKAN
C009 - RAUB
C010 - ROMPIN
C011 - TEMERLOH
C012 - BENTA
D001 - KOTA BHARU
D002 - PASIR MAS
D003 - TUMPAT
D004 - Pasir Puteh
D005 - Bachok
D006 - Kuala Krai
D007 - Machang
D008 - Tanah Merah
D009 - Jeli
D010 - Gua Musang
J001 - JOHOR BAHRU
J002 - TAMPOI
J003 - SKUDAI
J004 - SENAI
J005 - KULAI
J006 - PASIR GUDANG
J007 - LAYANG-LAYANG
J008 - PONTIAN
J009 - PEKAN NENAS
J010 - KUKUP
J011 - AYER BALOI
J012 - BENUT
J013 - SIMPANG RENGGAM
J014 - RENGIT
J015 - SENGGARANG
J016 - BATU PAHAT
J017 - AYER HITAM
J018 - PARIT SULONG
J019 - PARIT SEMERAH
J020 - YONG PENG
J021 - MUAR
J022 - PAGOH
J023 - PARIT JAWA
J024 - BUKIT PASIR
J025 - SUNGAI MATI
J026 - BUKIT GAMBIR
J027 - SEGAMAT
J028 - JEMENTAH
J029 - LABIS
J030 - KLUANG
J031 - KOTA TINGGI
J032 - MERSING
J033 - ENDAU
J034 - ULU TIRAM
J035 - GEMAS
J036 - GERISEK
J037 - CHAAH
J038 - MASAI
J039 - KAHANG
J040 - KUKUP
J041 - PARIT RAJA
J042 - TANGKAK
J043 - PANCHOR
J044 - PALOH
J045 - GELANG PATAH
J046 - KEMPAS
J047 - ISKANDAR PUTERI
J048 - KANGKAR PULAI
J049 - LEDANG
J050 - BANDAR PENAWAR
J051 - NUSAJAYA
K001 - ALOR STAR
K002 - Baling
K003 - Bandar Baharu
K004 - Kota Setar
K005 - Kuala Muda
K006 - Kubang Pasu
K007 - Kulim
K008 - Pulau Langkawi
K009 - Padang Tetap
K010 - Pendang
K011 - Sungai Petani
K012 - JITRA
K013 - POKOK SENA
M001 - Melaka
M002 - Alor Gajah
M003 - Masjid Tanah
M004 - Jasin
M005 - Merlimau
M006 - Pulau Sebang
M007 - Ayer Keroh
MO8 - MELAKA TENGAH
N001 - Seremban
N002 - Jelebu
N003 - Jempol
N004 - Kuala Pilah
N005 - Port Dickson
N006 - Rembau
N007 - Tampin
NOO8 - Gemencheh
P001 - Georgetown
P002 - Seberang Prai
P003 - Batu Ferringhi
P004 - Balik Pulau
P005 - Sungai Ara
P006 - BUKIT MERTAJAM
P007 - BUTTERWORTH
P008 - SEBERANG JAYA
P009 - PERAI
P010 - BAYAN LEPAS
R001 - Kangar
R003 - Padang Besar
S001 - MIRI
S002 - KUCHING
T001 - Kuala Terengganu
T002 - Dungun
T003 - Besut
T004 - Setiu
T005 - KEMAMAN
T006 - MARANG
T007 - HULU TERANGGANU
W001 - KUALA LUMPUR
W002 - PUTRAJAYA
W003 - Labuan
W004 - AMPANG
X001 - Kota Kinabalu
X002 - Tawau
X003 - Sandakan
X004 - Lahad Dato
X005 - Sibu
X006 - SARAWAK
Y001 - Kuching
Y002 - Bintulu
Y003 - Miri
Z001 - Singapura
T008 - JERTEH
T009 - CHUKAI
A011 - KAMPAR
P011 - AYER ITAM
A012 - KANGAR
Poskod Surat-Menyurat
Warganegara/Nationality
*
No. H/Phone
*
No. Telefon Rumah
Kaum
C - Chinese
I - Indian
M - Malay
O - Others
Email
*