Membership Application Form

Name *

Address *

NRIC *

e.g: 881225-08-1234

Date of Birth

dd/mm/yyyy (e.g : 25/12/1988)

Mobile No *

e.g : 012-1234567 or 011-12345678

WeChat ID

Email *

Facebook ID

Membership Annual Fee *

One Year = RM 90 + RM 100

Two Years = RM 180 + RM 100

Note : New Membership Entrance Fee = RM 100

Declaration *

I apply to become a member of Rottweiler Club of Malaysia and in doing so I expressly acknowledge the jurisdiction the Rottweiler Club of Malaysia as the governing authority in the state of Malaysia in respect all Rottweiler affairs and I agree to abide by all Rules, Regulations and By-Laws of the Rottweiler Club of Malaysia that which are in force and may be in force during the period of my membership in the Club. I declare that I am not a bankrupt nor a suspended or expelled member of any Kennel club, Organisation or Association recognized by the Rottweiler Club of Malaysia.