Member Application Form

Name *
Name
The information that you provide in the form of documents and electronic data as well as in other process of information transfer will be kept strictly confidential. It will be stored in the database server to protect from any losses, damages, changes and prevent other people from taking advantages of your personal information without permission.
I HEREBY CONFIRM THAT I AM A MALAYSIAN CITIZEN AGE 18 YEARS & ABOVE WITH NO CRIMINAL RECORDS. I AM APPLYING TO BECOME A MEMBER OF WATER WATCH PENANG OUT OF MY OWN FREE WILL. I WILL ABIDE BY THE ORGANISATION'S OBJECTIVES & RULES AT ALL TIMES. I UNDERSTAND THAT THE EXECUTIVE COMMITTEE OF WATER WATCH PENANG HAS THE POWER TO EXPEL ME IF I AM FOUND GUILTY OF MISCONDUCT OR HAS BEHAVED IN ANY WAY THAT DISCREDITS THE ORGANISATION.