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Useful Links
Embassy of Ireland, Malaysia
St Patrick's Society of Bangkok
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Application Form

Please fill in this online form and send payment as detailed below.

Please use proper capitalisation for direct data entry to our systems.

Click Here To Download A Printable Version Of The Application Form

New Application    Renewal   
For renewal, you need only fill in your name, payment info and anything which has changed
Personal Information
Title Mr.    Mrs.    Ms.    Other:   
Name Of Applicant
Name Of Partner
Contact Information
Email Address
Partner Email Address
Home Phone
Mobile Phone
Partner Phone
Office Phone
Children's Information
Child's Name Date Of Birth At Alice Smith School? *
Membership Category
Full Membership Friends of Ireland
Brief Description of Irish Connections
Further Information
Orang Eire Member MIBM Member
How did you hear about us
Membership Type
Family Membership - RM150 (p/a) Life Membership - RM750 (one-time)
Payment Information
Please fill in this section so that we can recognise your money when we get it!
Cash Cheque Transfer Cash/Cheque Delivery Method:
(Post, Gave to xxx, At xxx event, Carrier Pigeon etc)
Bank:           Cheque No./Reference:
                                                        (Enter same reference on online bank form eg surname)
Cash/cheques can be banked in at HSBC - St. Patrick's Society - Account Number 301 029807 001.
Cheques should be made in favour of "St. Patrick's Society of Selangor" and posted to
St. Patrick's Society of Selangor, Suite 301, F139, Bangsar Shopping Centre,
285 Jalan Maarof, Bangsar, 59000 Kuala Lumpur.

Membership Enquiries: membership@stpatsoc.org
Payment Enquiries: treasurer@stpatsoc.org

* Details will be passed to the Patrick's Society Trustee Member / Governor Of The Alice Smith Schools Association for information.