MACC | MALAYSIAN ASSOCIATION OF CERTIFIED COACHES

Is this a Renewal or New application? *

New Member Application

Renewal of Membership

Full Name (as per NRIC/Passport)*

First Name*

Last Name/Surname*

Preferred Profile Display Name

MyKad/Passport No.*

Gender*

Male

Female

Citizenship*

Designation*

Organization*

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City*

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Telephone Number (Mobile):*

Agree to share contact details? *

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E-mail (personal)* *

Create a new password*

Facebook Link *

Academic Qualification(s) * Allowed 250 characters only.

Professional Qualification(s) * List of Coaching and Professional qualifications | School/academy/accreditation source
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Coach Learning From:*

CCA

Others

If Coach Learning is from CCA, what course did you enroll in and date of completion? Name the CCA course attended and date of completion

Please attach coach certificate

Ordinary – 2-year membership at RM300/USD75

Ordinary – 4-year membership at RM500/USD125

Life – One-off payment of RM2000/USD500

Associate – RM100 for 1 year subscription (no subsidy for coaching camp, non-renewable)

Associate – For CCA course attendees (CCA sponsored with required RM30 Admin Fee) for 1 year subscription (no subsidy for coaching camp, non-renewable)

Corporate – RM2400 for 2-year subscription for up to 12 persons

Global Member – One off payment of USD100 (applicable only to those who reside outside Malaysia)

I hereby apply to be a member of the Malaysian Association of Certified Coaches (MACC).
I declare that all information given is true and correct.
I agree to abide by the Constitution and By-Laws as well as the Code of Ethics of the Association.
I also agree to pay the annual Subscription Fees which will be non-refundable in the event I decide to discontinue my membership with the Association.

I have read, understood, and accept the membership declaration.

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Malaysian Association of Certified Coaches

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