Membership

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Membership Form

FIrst Name

Last Name

Date of Birth

Place of Bith

Nationality

NRIC

Emaila valid email

Membership Typechoose one

Individual MemberAssociate Member

Mobile Number

Address

0 /

Job Title

Employer's Name

Employer's Address

0 /

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Bank Details:

Account Name : Kelab Pelayaran Dan Rekreasi Negeri Johor
Account No. CIMB 8011004910
RM3,000 (Membership fee)

Payment Referenceupload

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Actual Sample JYRC membership card

Qualification

Please select your certification/training you completed

Power Yacht Training

Powered Pleasure Craft Driving Licence Course (PPCDL) Boat MasterInshore Power SkipperOffshore Power Skipper

Sail Training

Yacht CrewInshore SkipperOffshore SkipperMaster of YachtDinghy Level 1Dinghy Level 2Dinghy Level 3

SeaOPS Sea Kayaking Course

SeaOPS 1 Star Sea KayakingSeaOPS 2 Star Sea KayakingSeaOPS 3 Star Sea KayakingSeaOPS 4 Star Sea KayakingSeaOPS 5 Star Sea Kayaking

SeaOPS Stand Up Paddling (SUP)

SeaOPS 1 Star Stand Up Paddling SeaOPS 2 Star Stand Up Paddling SeaOPS 3 Star Stand Up Paddling SeaOPS 4 Star Stand Up Paddling SeaOPS 5 Star Stand Up Paddling

SeaOPS Sea Dragon Boat

SeaOPS 1 Star Sea Dragon Boat SeaOPS 2 Star Sea Dragon Boat SeaOPS 3 Star Sea Dragon Boat

SeaOPS Fishing Kayak Course

SeaOPS 1 Star Fishing KayakSeaOPS 2 Star Fishing KayakSeaOPS 3 Star Fishing Kayak

Remarksmore details

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I Agree that the information all correct

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G-13 R&F Marina Place Mercu 2,
Jalan Tanjung Puteri 1, R&F Tanjung Puteri 80300 Johor Bahru, Johor Malaysia

Tel: +6013-2162546
Email: membership@JYRC.org.my

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