Name

NRIC (New)

Address

Correspondence Address (if different from above)

Contact Number

Your E-mail address

Marital Status
Married
Single

Sex
Male
Female

Race
Chinese
Malay
Indian
Others

Occupation

Select one that best describe your resident/ownership status in IHA
Owner Occupied
Owner but unit rented out
Non-Owner but renting a unit
Owner but unit not occupied
Non-Owner and non resident

If resident, what is your Resident Card No.?

DECLARATION

By submitting the above, you have requested to join as a member of PPPI and acknowledged and declared that the above information provided is correct, complete and accurate to the best of your knowledge. You further understand that your membership is subject to the approval by the committee/office bearer which reserves the right to reject your application or withdraw your membership. By submitting the above and upon approval of your application, you have agreed to comply and abide to the rules and regulations of PPPI and shall be liable to all the association approved membership fees of RM 10.00 per year and one off registration fee of RM 5.00.