Student Registration StudentStudentRM0.00StudentNextPreviousStudent Member RegistrationDECLARATIONS * 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.YesPERSONAL INFORMATION * Please select appropriate Membership CategoryStudent Member* ProfessionSpeech-Language TherapistAudiologist * Full Name* GenderMaleFemale * Date of Birth * Nationality * MyKad No. or Passport No* Personal PhotoDone(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* StateJohorKedahKelantanMelakaPahangPenangPerakPerlisNegeri SembilanSabahSarawakSelangorTerengganuWP LabuanWP Kuala LumpurWP PutrajayaOther * State * Postcode* Country/RegionCountry/RegionAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe * Country/Region BiographyTell more about yourselfEDUCATIONAL INFORMATION * Programme(eg. Masters of Speech Sciences, Bachelor of Audiology etc.) * Name of University * Year of Enrolment * Estimated Graduation Date * Student ID Number* Upload copy of your student ID card:Drop file here or click to select.CREATE MEMBER PORTAL ACCOUNT * Email Address * PasswordStrength: Very Weak * Confirm PasswordBy clicking SUBMIT you hereby agree with and consent to us processing/continuing to process your Personal Data in accordance herewith. Payment SummaryYour currently selected plan : , Plan Amount : Coupon Discount Amount : , Final Payable Amount: Submit
