MALAYSIAN INSTITUTE OF FOOD TECHNOLOGY
45B, Jalan, ss 15/4B, 47500 Subang Jaya, Selangor
www.mift.org.my
Tel : 03 - 5631 8928
Fax: 03 - 5631 1459

I hereby apply for student membership in the INSTITUTE
(Please refer to the "Introduction to MIFT" brochure, under Membership Class/Subsription/Section)
Application For Membership
Salutation
*Full Name
Sex
Male Female
Marital Status
Married Single
Birth Date
Birth Place
IC / Passport No.
Nationality
Mailing Address 1
Mailing Address 2
Mailing Address 3
*Permanent Address
*Correspondence Email
*Permanent Email
*Mobile No.
*Office Contact No.
*Contact No.
   

Referees: Please provide the names of two persons who know you, are aware of your achievements and are willing to support your application. At least one of these referees must be a MIFT professional member.

Please tick if do not know any MIFT professional member

1 Referees:*
Organisation:*
Job Title:*
Office Telephone:*
Work Email:*
(personal email is not accepted)

2 Referees:*
Organisation:*
Job Title:*
Office Telephone:*
Work Email:*
(personal email is not accepted)


Academic Training:
  Diploma / Degree College / University Date Received
1
2
3
4

Major field of study
Agriculture Biological Science Chemistry
Chemical Engineering Diary Science / Technolgy Engineering (Other than chemical)
Food Science / Technolgy Home Economics Microbiology
Others, please specify
Employment Experience (List present employer first)
  Company Name Designation Duration (e.g.: 2009 - 2010)
1
2
3
4
5
Other Relevant Information  
  Other Professional Membership
  Publications
  Other Achievements

I, the undersigned, declare the foregoing information to be true and correct to the best of my knowlegde. I hereby apply for membership, and undertake, if admitted, to comply with the MIFT Constitution, Bye-Laws, and the code of professional conduct, and to pay the prescribed fees.
  1. Send Cheque / Postal Order / Bank Draft (Please cross cheque / bank draft & make payable to "Malaysian Institute of Food Technology") of RM100 (include entrance fee RM50 & first annual subscription RM50)
    Reference No.:

    or
  2. Transfer RM100 (include entrance fee RM50 & first annual subscription RM50) to "Malaysian Institute of Food Technology" at Malayan Banking Bhd. (or Maybank Bhd.), account no. 512-530-153-550.

Kindly email receipt / transaction slip with applicant's name included to mift1974@gmail.com or fax to 03-5631 1459

Membership approval is subjected to receipt of application fees.


  Photo
 
   
  1. Passport sized photo
  2. Must be in image format (.jpeg/jpg, .gif or .png)
  3. Maximum file size: 400KB
 
  Certificate of copy 1
 
  Certificate of copy 2
 
  Certificate of copy 3
 
  Certificate of copy 4