NUTRITION SOCIETY OF MALAYSIA
MEMBERSHIP APPLICATION FORM

Personal Details

Please select Title.
Please enter name.
Please Enter valid NRIC without -
Please select date of birth.
Please select gender.
Please enter valid email.
Please enter academic qualifications.
Please enter Areas of interest/research.
Please enter address.
Please enter Postcode.
Please enter City.
Please select State.
Please enter Country.
Please enter Mobile No.
Please select Nationality.
Career Details

Please enter Title.
Please enter Title.
Please enter Company Name / Organization.
Please select Title.
Please select Title.
Please enter City.
Please select Title.
Please enter office contact no.
Please enter valid compEmail.
Are You A Nutritionist?

Please upload AHP Certificate and provide your AHP No if you are a nutritionist

Please enter valid AHP No.
Please attach AHP Certificate.
Only jpg @ jpeg @ png format supported.
Maximum file size 2MB only
Attachments

Please attach photo.
Only jpg @ jpeg @ png format supported.
Maximum file size 2MB only
Please attach First degree certificate.
Only jpg @ jpeg @ png @ pdf format supported.
Maximum file size 2MB only
Please attach Certificate.
Only jpg @ jpeg @ png @ pdf format supported.
Maximum file size 2MB only
Bank Details

Bank name Account name Account number
CIMB BANK BERHAD NUTRITION SOCIETY OF MALAYSIA 8002 – 1551 – 09
Membership & Payment

Please select membership type.
Please select payment method.
Please attach payment proof.
Only jpg @ jpeg @ png @ pdf format supported.
Maximum file size 2MB only
RETURN

NSM Membership Disclaimer:
Being a Member of the Nutrition Society of Malaysia (NSM) does not automatically qualify the Member to register as a Nutritionist under the Allied Health Professions (AHP) Act 774. For the purpose of the latter, the Member would have to comply with the requirements of the AHP, details of which will be announced by the Malaysian Allied Health Professions Council. Do check the websites of the Bahagian Sains Kesihatan Bersekutu, Ministry of Health, and the NSM from time to time.

NSM Membership Application:
Kindly note that all applications for membership to NSM shall be considered at monthly NSM Council Meetings. Notifications will be sent to all applicants regarding the status of application approximately 2 months after submission.