For your convenience, please photocopy this form before either faxing or posting along with your payment or a copy of your company's purchase order/Local order. Please register each course individually on a separate form.  Please tick (/) where appropriate.

IKM Member

  Membership No .................................

Non IKM Member

Course Code

Designation

A crossed cheque No: …………… for RM ………… made payable to INSTITUT KIMIA MALAYSIA.

Fax back to 03-7728 9909 to secure your registration.
To register for any our courses, or further information please contact:
Suhaili Tel: 03-7728 3272 Fax:03-7728 9909
Email: exec@ikm.org.my or prof.centre@ikm.org.my