Membership Application Form

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Please fully complete your enrolment in English. Your full name should be written as shown in your passport. Return your enrolment form by post, email or fax to MAI office: + 951 (255-305)

Male    Female

First Name:                             

Family name:                          

Date of Birth:                            Day Month Year must be 18 years!

Passport No:                           

Address:

Home Telephone:                 

Business Telephone:           

Mobile Phone:                        

Fax:                                           

Email Address:                      

Company Name:                   

Title:                                         

Travel Details:

Travel Sectors with MAI:                                      Travel Dates:

Please fill up travel detail with MAI.                          Please fill up travel detail with MAI.
[eg.RGN-BKK]                                                           [eg.20-nov-2010]

             

Date of Enrolment:

 

**Please attach copy of your passport and stamped travelling sector pages.