Membership – MIPA

New Membership

Membership Type

Member Information

Payment

Category of Membership

1. MEMBER'S DETAILS

Full Name *

NRIC / Company / Business Registration No *

Street address *

Town / City *

Postcode *

Country *

State (optional)

Telephone *

Mobile (optional)

Fax No *

Email *

Nationality / Country of Incorporation *

2. FOR CORPORATE MEMBERS, ONLY

Please provide details of Designated Representative

Designated Representative Full Name *

Position *

NRIC No *

3. FOR ORDINARY, ASSOCIATE AND YIPP MEMBERS ONLY

Please select whichever qualification is applicable

A Patent Agent registered under the Malaysian Patents Act *

A Trademark Agent registered under the Malaysian Trade Marks Act *

An Industrial Designs Agent registered under the Malaysian Industrial Designs Act *

An Advocate admitted in Sabah or Sarawak and/or an Advocate and Solicitor admitted in Peninsular Malaysia practicing Intellectual Property law and/or Industrial Property Law *

Owns Intellectual Property and/or Industrial Property* *

Connected directly or indirectly in the field of Intellectual Property law and/or Industrial Property law *

Please provide details *

4. FOR YIPP MEMBERS ONLY

Please select whichever is applicable

A natural person who will not be more than 36 years of age as at 31st December 2019 *

5. FOR STUDENT MEMBER ONLY

Please select whichever is applicable

Name of College / University *

Qualification / Course Being Pursued *

Faculty *

Town / City *

Date of Commencement *

Date Expected to Graduate *

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