MALAYSIAN INSTITUTE OF FOOD TECHNOLOGY
45, Jalan SS 15/4B, 47500 Subang Jaya, Selangor, Malaysia.
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
*Personal Email
*Correspondence Email/ Company Email
*Mobile No.
*College 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
Information of University Head Department
Professor's Name:*
Title:*
University:*
Address:*
Office Telephone:*
Fax:
Work Email:*

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

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.

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