IKMAL Membership App Form-edited 18 June 2015

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I/We wish to apply for membership of the IKHTISAS KELAUTAN MALAYSIA (Association of Malaysia’s Maritime
Professionals). Personal/Corporate details are as follows:
INDIVIDUAL MEMBERSHIP
CORPORATE MEMBERSHIP
Name: ____________________________________________________
Company’s Name/Address: _____________________________________
Citizenship: ________________________________________________
___________________________________________________________
Date of Birth: ______________________________________________
___________________________________________________________
Passport No: ______________________________________________
Nature of Business: ___________________________________________
MYKAD No: ______________________________________________
Telephone No: ______________________________________________
Profession/Occupation: ______________________________________
Fax No: ____________________________________________________
Professional Qualifications (Please enclose photocopies):
E-Mail: _____________________________________________________
_________________________________________________________
Academic Qualifications (Please enclose photocopies):
COMPANY’s NOMINEE 1
_________________________________________________________
Name: _____________________________________________________
Home Address:____________________________________________
Designation: ________________________________________________
_________________________________________________________
Date of Birth: _______________________________________________
Telephone: House:____________________ HP:__________________
MYKAD No/Passport No: _______________________________________
E-Mail: ___________________________________________________
Telephone No: ______________________________________________
Name Address of Employer: __________________________________
Fax No: ____________________________________________________
_________________________________________________________
E-mail: _____________________________________________________
_________________________________________________________
COMPANY’s NOMINEE 2
Telephone No: ____________________________________________
Fax No: __________________________________________________
Name: _____________________________________________________
E-Mail: ___________________________________________________
Designation: ________________________________________________
Date of Birth: _______________________________________________
MYKAD No/ Passport No: _______________________________________
Telephone No: ______________________________________________
Fax No: ____________________________________________________
E-mail: _____________________________________________________
Note: Successful applicants will be notified on procedure of banking in the RM 50.00 Entrance Fee and appropriate
Membership Fee once approved.
SIGNATURE: ………………………………………………….
NAME: ________________________________________
DATE: _______________________________
M E M B E R S H I P R E Q U I R E M E N TS
Every candidate for election or transfer to the class of Ordinary Member shall satisfy the Council of the following:
Ordinary Member

Is a holder of one of the following qualifications or equivalents;
o
Master or Chief Mate of vessels of 3,000 GT or more on unlimited voyages.
o
Chief Engineer Officer or Second Engineer Officer of on vessels of 3,000 kW or more on unlimited voyages.
o
Master or Chief Mate on vessels of 3,000 GT or more and between 500 GT and 3,000 GT on near coastal
voyages.
o
Chief Engineer Officer or Second Engineer Officer on vessels of 3,000 kW or more and between 750kW and
3,000 kW on near coastal voyages.
o
Officer in charge of a navigational watch on vessels of 500 GT or more or Officer in charge of an engineering
watch on vessels of more than 750 kW.
o
Master or Officer in charge of navigational watch on vessels of less than 500 GT on near coastal voyages.
o
Master or Mate on vessels of less than 500 GT on domestic voyages.
o
Engineer Officer on vessels of less than 750 kW on domestic or near coastal voyages.
o
A degree in any maritime field with 6-years relevant experience or other degrees with 8-years continuous
experience within the maritime field.
o

A Pilot License acceptable to the Council.
Is a holder of any relevant qualification acceptable to the Council.
Associate Member

Should be associated with the maritime field and hold qualifications other than that of an Ordinary Member.
Student Member

Should be between 17 to 25 years old and pursuing a maritime-bias course.
Corporate Member

Open to companies/organizations within the maritime industry, other than shipowning entities.
ANNUAL SUBSCRIPTION
ORDINARY
MEMBER
LIFE
MEMBER
ASSOCIATE
MEMBER
STUDENT
MEMBER
CORPORATE
MEMBER
RM 60.00
RM 20.00
RM 1000.00
(One-time subscription)
RM 100.00
RM 1000.00
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