Events

Warning: Undefined array key "id" in /home/nasamorg/public_html/wp-content/themes/oceanwp-child/event_details.php on line 15

Warning: Attempt to read property "num_rows" on bool in /home/nasamorg/public_html/wp-content/themes/oceanwp-child/event_details.php on line 20

No Events Found

Registration Form

Name *

Address

IC No./ Passport No. *

Email *

Mobile Number *

House Number

Office Number

Team Registration

Team Name

Individual Registration

Stroke Champion Registration (Inclusive of 1 caregiver)

Payment Details

Total Payment Amount: RM0

NASAM Centres

Helpline : +6018 222 1878

Petaling Jaya

Ampang

Penang

Perak

Sabah

Johor

Kuantan

+603 7932 4840

+603 4256 1234

+604 229 8050

+605 246 0896

+6088 261 568

+607 207 0120

+609 566 8195

Address of NASAM Head Office:

No. 12

Jalan Bukit Menteri Selatan (7/2)

Seksyen 7

46050 Petaling Jaya

Selangor Darul Ehsan

Malaysia

Tel: +603 7956 1876
Email: info@nasam.org
Website: www.nasam.org

6028/96 Selangor | PPM-001-10-11051996

Events

No Events Found

Registration Form

Registration Form

Team Registration

Individual Registration

Please provide T-shirt size quantities based on number of individual participating:-

Stroke Champion Registration (Inclusive of 1 caregiver)

Please provide T-shirt size quantities based on number of stroke champion participanting:-

Payment Details

Total Payment Amount: RM0

NASAM Centres

Helpline : +6018 222 1878

Follow Us

Personal Data Protection Act

Click to view >>

NASAM 2023 © All Rights Reserved.