Member Registration

To register as a member of the National Heart Association of Malaysia, you may either:

  • register offline by downloading the registration form and submitting it via post or email
  • fill out the online registration form below

Registration Forms

Download the registration form by clicking the link below. Please print and fill out the form and submit it to the address below. Alternatively, you may scan the form and relevant documents and submit it to the email address below.

National Heart Association of Malaysia
D-13A-06, Menara Suezcap 1,
KL Gateway, No.2 Jalan Kerinchi,
Gerbang Kerinchi Lestari,
59200 Kuala Lumpur,

Online Registration

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Complete all the fields below. Please do enter a valid email as we will use that to help you manage your account.