MALAYSIAN INSTITUTE OF FOOD TECHNOLOGY
45 (2nd Floor), Jalan SS15/4B, 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 Student 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.
*College Contact No.
*Contact No.
College / University Certification  
College / University Certification
Students must provide the information and certification statement below, by their department head or a major professor, to be entitled to the special fee for students
College / University Date entered Date expected Major Field of Study
Referees
1 Professor's Name:*
Title:*
University:*
Address:*
Office Telephone:*
Fax:
Work Email:*
2 Professor's Name:*
Title:*
University:*
Address:*
Office Telephone:*
Fax:
Work Email:*

Nominees
Corporate membership entitles the organisation to nominate two (2) employees of the organisation to participate in MIFT activities. Corporate nominees will enjoy all the benefits and privileges similar to individual members except the right to vote and to hold office in the MIFT Council.
Fill in details of nominees:
 
Name of Nominees
Designations
Phone
Email
1
2

I declare the foregoing information to be true and correct to the best of my knowledge. 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.
 

Membership approval is subjected to receipt of application fees.

Payment Type:
Pay with Online Payment Gateway
Manual Payment Method, Bank Transfer or Pay By Cheque

  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