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MASH
The Professional Body Representing Speech-Language Therapists and Audiologists in Malaysia
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Home
About Us
Who Are We?
Our History
Current EXCO
Code Of Ethics
Membership
Become a MASH Member
Renew Your Membership
Become a Student Member
Find a Professional
Events
Annual MASH BHSM
MASH Events
Resources
Become an Audiologist
Become a Speech-Language Therapist
Special Interest Groups – SIGs
Regional Chapters
Allied Health Professions Act 774
MyCPD Info
Publication
Bulletin
Research
Advertisement
Job Ads
Event Ads
Announcement
Registration Form
New Membership Registration
Practicing/Non-Practicing
Practicing/Non-Practicing
RM
80.00
MASH Membership Registration Form
DECLARATIONS
*
I hereby declare that the below statements are true to the best of my knowledge and belief.
Yes
*
I declare I have not been investigated or subjected to censure or prosecution, in a civil or criminal context
Yes
*
I declare my commitment to maintaining my knowledge and competence and expertise through active engagement in a range of professional development and activities. I agree to engage in a programme of continuing professional development of which I am keeping an up-to-date record.
Yes
*
I agree to abide by the standards and guidelines of the MASH and Code of Ethics.
Yes
*
Are you a former MASH Student Member?
Yes
No
*
Please select appropriate Membership Category
Practicing Member
Non-practicing Member
a) Practicing:
Registered with MAHPC and possess annual license to practice
b) Non-practicing:
Registered with MAHPC but does not possess annual license to practice
NOTE:
MAHPC: Malaysian Allied Health Professions Council Until the end of June 2025, which is the transition period set by MAHPC, all active MASH members will be categorized as
“Practicing”
member.
PERSONAL INFORMATION
Please make sure your information is complete and correct. You will be contacted by MASH with the information you provide below, including your Membership Confirmation Email.
*
Profession
Speech-Language Therapist
Audiologist
* Full Name
*
Gender
Male
Female
* Date of Birth
* Nationality
Note: Non-Malaysian applicants will be considered as ‘Associate Members’ of MASH
* MyKad No. or Passport No
*
Personal Photo
Done
(Use Cropper to set image and
use mouse scroller for zoom image.)
Done
(Use Cropper to set image and use mouse scroller for zoom image.)
Drop file here or click to select.
* Mobile Phone Number
* Correspondence Address (Street Address)
* City
* Postcode
*
State
Johor
Kedah
Kelantan
Melaka
Pahang
Penang
Perak
Perlis
Negeri Sembilan
Sabah
Sarawak
Selangor
Terengganu
WP Labuan
WP Kuala Lumpur
WP Putrajaya
Other
* State
*
Country/Region
Country/Region
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
* Country/Region
Biography
Tell more about yourself
REFEREES
All applicants are required to provide two referees (preferably members of MASH) to whom MASH EXCO may refer to for information relating to your qualification, training and experiences. You may submit your university academic's name and/or your work colleague's, who have been worked together with you for a minimum of 2 years as your referee.
* Name of Referee 1
Professional Membership ID of Referee 1
* Email of Referee 1
Phone Number of Referee 1
* Name of Referee 2
Professional Membership ID of Referee 2
* Email of Referee 2
Phone Number of Referee 2
MAHPC INFORMATION
*
Do you have a valid MAHPC annual practicing license?
Yes
Applied but pending for approval
No
MAHPC Registration ID
MAHPC Registration cert
Drop file here or click to select.
MAHPC License No.
MAHPC License Validity Date
Upload your MAHPC License Cert
Drop file here or click to select.
EDUCATIONAL INFORMATION
* Qualification 1
(eg. Masters of Speech Sciences, Bachelor of Audiology etc.)
* Name of University 1
* Year of Graduation 1
*
Copy of Certificate Awarded
Drop file here or click to select.
*
Copy of Transcript
Drop file here or click to select.
Qualification 2
Name of University 2
Year of Graduation 2
Copy of Certificate Awarded 2
Drop file here or click to select.
Copy of Transcript 2
Drop file here or click to select.
WORK INFORMATION
*
Caseloads
Paediatrics
Adults
*
Work settings
Government
NGO
Private
House Call / Home Visit
Teletherapy
*
Employment Status
Yes
No
Self-employed
* Employment Status
Kindly upload your SSM certificate for self-employment
Drop file here or click to select.
*
States
Johor
Kedah
Kelantan
Melaka
Pahang
Penang
Perak
Perlis
Negeri Sembilan
Sabah
Sarawak
Selangor
Terengganu
WP Labuan
WP Kuala Lumpur
WP Putrajaya
Area Covered
Eg: Bangi, Kajang
EMPLOYMENT DETAILS
* Job Title
* Work Phone Number
* Work Email
* Name of Company 1
* Street Address of Company 1
* City of Company 1
*
State of Company 1
Johor
Kedah
Kelantan
Melaka
Pahang
Penang
Perak
Perlis
Negeri Sembilan
Sabah
Sarawak
Selangor
Terengganu
WP Labuan
WP Kuala Lumpur
WP Putrajaya
Other
* State of Company 1
* Postcode of Company 1
Weblink of Company 1
Name of Company 2
Street Address of Company 2
City of Company 2
State of Company 2
Johor
Kedah
Kelantan
Melaka
Pahang
Penang
Perak
Perlis
Negeri Sembilan
Sabah
Sarawak
Selangor
Terengganu
WP Labuan
WP Kuala Lumpur
WP Putrajaya
Other
State of Company 2
Postcode of Company 2
Weblink of Company 2
LISTING IN DIRECTORY
*
To be listed in directory?
No
Yes
* To be listed in directory?
AREA OF INTEREST OR SPECIALIZATION
*
Area of Interest or Specialization (you may tick more than one)
Audiology
Augmentative and Alternative Communication (AAC)
Aphasia
Autism Spectrum Disorder (ASD)
Dysphagia
Speech Dyspraxia
Developmental Language Disorder
Stuttering
Voice
Other
CREATE MEMBER PORTAL ACCOUNT
* Email Address
* Password
Strength: Very Weak
* Confirm Password
By clicking SUBMIT you hereby agree with and consent to us processing/continuing to process your Personal Data in accordance herewith.
Select Your Payment Gateway
Billplz
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Payment Summary
Your currently selected plan :
Plan Amount :
Non-refundable Processing Fee:
50.00 MYR (Only applicable for new registration)
Please click 'Submit' to see final payable amount
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