RENEWAL FORM
UPLOAD CANDIDATE PICTURE
* Required
FULL NAME
* Required
(Eg: Simon A/L Peter - Please Type :- Simon Peter)
GRADE (BELT COLOR)
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NUMBER OF TOURNAMENT ATTENDENT / PLACE AND NUMBER OF MEDAL ACHIEVED
CONTACT NUMBER IF NEW AS PREVIOUS
PARENT/GUARDIAN CONTACT NUMBER IF NEW
EMAIL IF NEW
SOCIAL MEDIA LINK (EG: Facebook, Instagram and etc)
SCHOOL NAME/WORK NAME IF NEW
HOME ADDRESS IF NEW
BANK : AMBANK
ACCOUNT NUMBER: 147 202 201 0284
ACCOUNT NAME: REVOLUTION MARTIAL ARTS ACADEMY
REGISTRATION FEE PAYMENT SLIP
Please Select Option
IN CENTER: RM15 (Yearly Fee) + RM60 Monthly = RM75
OUTDOOR: RM15 (Yearly Fee) + RM40 Monthly = RM55
PAYMENT SLIP
* Required
