Membership Application

Institut Kimia Malaysia

NOTES FOR APPLICANTS

GRADES OF MEMBERSHIP
Section 17 of the Chemists Act reads as follows:
1. 1. Membership of the Institute shall be one of three grades, namely Fellow, Member, and Licentiate.
  2. A person shall, before admission as a Fellow, satisfy the Council that he has -
    
    a degree or any equivalent academic qualification, in chemistry or in any specialized discipline associated with chemistry from one of the examinations listed in the Second Schedule;
    
    practical experience in chemistry of not less than ten years;
    
    made a substantial contribution to chemistry; and
    
    attained thirty-three years of age or such lesser age as the Council may, in any special case, allow
  3. A person shall, before admission as a Member, satisfy the Council that he has -
    
    a degree or any equivalent academic qualification, in chemistry or in any specialized discipline associated with chemistry from one of the examinations listed in the Second Schedule;
    
    practical experience in chemistry of not less than three years for a degree or its equivalent or not less than one year for a master or higher degree or its equivalent; and
    
    attained twenty-one years of age.
  4. A person shall, before admission as a Licentiate, satisfy the Council that he has -
    
    a degree or any equivalent academic qualification, in chemistry or in any specialized discipline associated with chemistry from one of the examinations listed in the Second Schedule;
    
    practical experience in chemistry of not less than one year for a degree or its equivalent or its equivalent; and
    
    attained twenty-one years of age.
QUALIFYING EXAMINATIONS (SECOND SCHEDULE OF THE CHEMISTS ACT)
The qualifying examinations of the Institute are:
1. The final examinations of the Institute
2. Any examination anywhere or part thereof recognized by the Government, after consultation with the Institute, as being equivalent to or higher than the final examinations of the Institute.
ANNUAL MEMBERSHIP RETENTION
Section 23 of the Chemists (General) Rules 1977 reads as follows:
1. 1. An Application by a member for retention on the register for any year must be made in Form 4 in the Schedule before the 1st January of the year.
  2. If no application for retention on the register is made by a member before 30th June of the year for which retention is due, his name shall be removed from the register and a fresh application must be made if he desires to be again admitted as a member of the Institute.

Personal Details

Grade of Membership

Fellow Member Licentiate

Title

Full Name (MUST be same as in National Registration Identity Card or Passport)

Phone No. (Home) (Please include hypen '-')

Mobile No. (Please include hypen '-')

Date of Birth

Place of Birth

Gender

Male Female

Race

Receive Berita IKM Hardcopy (Berita IKM is a quarterly publication of IKM. Select "Yes" if you wish to receive a hardcopy version. Softcopy version is available at IKM Website)

Yes No

NRIC/Passport Please include hypen '-'

Citizenship

Marital Status

Married Single

Home Address

Address Line 1

Address Line 2

Address Line 3

Address Line 4

Postcode (format: 46400 Petaling Jaya)

State / Country

Correspondence Address

Address Line 1

Address Line 2

Address Line 3

Address Line 4

Postcode (format: 46400 Petaling Jaya)

State / Country

Present Employment Details

Occupation / Position / Job Title (Examples: Chemist / Lecturer / Quality Executive / Laboratory Officer / Scientific Officer & etc.)

Area of Expertise

Field of Employment

Company Name

Job Start Date

Office Address

Address Line 1

Address Line 2

Address Line 3

Address Line 4

Office Telephone No.

Office Fax No.

Postcode (format: 46400 Petaling Jaya)

State / Country

Education Details

Graduate Studies

Name of Institution (1) Year of Graduation (1) Subject / Title of Award (1) (Examples: Bachelor of Science (Hon) Chemistry / Bachelor of Applied Chemistry / Bachelor of Science with Education (Hon) Chemistry) Gred/CGPA (1) Remarks (1)

Name of Institution (2) Year of Graduation (2) Subject / Title of Award (2) (Examples: Bachelor of Science (Hon) Chemistry / Bachelor of Applied Chemistry / Bachelor of Science with Education (Hon) Chemistry) Gred/CGPA (2) Remarks (2)

Name of Institution (3) Year of Graduation (3) Subject / Title of Award (3) (Examples: Bachelor of Science (Hon) Chemistry / Bachelor of Applied Chemistry / Bachelor of Science with Education (Hon) Chemistry) Gred/CGPA (3) Remarks (3)

Post-graduate Studies

Name of Institution (1) Year of Graduation (1) Postgraduate Degree / Diploma (1) Field of research (1)

Name of Institution (2) Year of Graduation (2) Postgraduate Degree / Diploma (2) Field of research (2)

Name of Institution (3) Year of Graduation (3) Postgraduate Degree / Diploma (3) Field of research (3)

Past Working Experience

Experience since graduation

Appointment (1) Nature of appointments or duties (1) Employer / Name of organisation (1) Period from (1)

To (1)

Appointment (2) Nature of appointments or duties (2) Employer / Name of organisation (2) Period from (2)

To (2)

Appointment (3) Nature of appointments or duties (3) Employer / Name of organisation (3) Period from (3)

To (3)

Professional Qualifications

Name of professional organisation (1) Grade of membership (1) Date of admission (1)

Name of professional organisation (2) Grade of membership (2) Date of admission (2)

Name of professional organisation (3) Grade of membership (3) Date of admission (3)

Other Relevant Information

List out thesis produced and other works published. Describe in detail your experience in chemistry, your scientific and technological achievements, the responsibilities of your present employment in relation to the size and structure of your organisation. State the number of qualified chemists and other staff under your control and give any other information which will indicate your professional maturity and responsibility.

Referees

Give the names of three persons preferably chemists in responsible positions who are able and willing to reply to the Institute’s enquiries concerning you. One of them should have been immediately responsiblefor your recent work. Collectively the three persons should be able to reply to enquiries concerning your entire career since graduation. No person should be named without his express permission.

Name (1) (with Titles; Example: Datuk / Prof / Assoc Prof / Dr / Mr / Mrs) Designation (1) Full address (1) Period known to applicant from

To (1)

Email (1)

Name (2) (with Titles; Example: Datuk / Prof / Assoc Prof / Dr / Mr / Mrs) Designation (2) Full address (2) Period known to applicant from

To (2)

Email (2)

Name (3) (with Titles; Example: Datuk / Prof / Assoc Prof / Dr / Mr / Mrs) Designation (3) Full address (3) Period known to applicant from

To (3)

Email (3)

Public Honours / Declarations

Documents Upload

Upload certified copies of qualification in chemistry and ALL academic transcripts (example: Diploma, Degree, Master, Doctoral, LMIC certificates & transcripts).
Scan ALL the certificates & transcripts in a single file *

Certificates MUST be certified by IKM Branch Chairman or IKM Executive Director or Government Officer in the Management and Professional group or Commissioner of Oath or Solicitor
Valid file format is required. Make sure your file is in .jpg or .png or .pdf and less than 8MB

Upload certified copy of IC / Passport *

Valid file format is required. Make sure your file is in .jpg or .png or .pdf and less than 2MB

Upload recent passport-size photograph and send 3 recent passport-size photographs to IKM Secretariat by courier / postal service: * INSTITUT KIMIA MALAYSIA
127B, Jalan Aminuddin Baki
Taman Tun Dr Ismail
60000 Kuala Lumpur, Malaysia
(Attention: Membership Application)

Valid file format is required. Make sure your file is in .jpg or .png or .pdf and less than 2MB

Payments Details

Annual Fee	RM 100.00
Processing Fee	RM 50.00
Benevolent Fund Levy	RM 20.00
Education Fund Levy	RM 30.00
TOTAL	RM 200.00

NOTE: For subsequent years, the membership fees are RM100.00 annual retention fee, RM20.00 Benevolent Fund Levy and RM30.00 Education Fund Levy. The Benevolent Fund and Education Fund Levies are payable for 5 years only.

Payment can be made via direct online transfer / online banking / ATM transfer. Payment via online banking / ATM transfer should be made payable to:

INSTITUT KIMIA MALAYSIA
Bank	PUBLIC BANK BERHAD
Account No.	3127731017

Please email the proof of payment to nabila@ikm.org.my
Your application will be processed upon receiving complete documents with proof of payment.

Penalty for False Pretences

Section 25(a) of the Chemists Act 1975:
“Any person who procures or attempts to procure registration or a certificate of membership under this Act by knowingly making or producing or causing to be made of produced any false or fraudulent declaration, certificate, application, or representation, whether in writing or otherwise, is guilty of an offence and is liable to a fine of ten thousand ringgit or to imprisonment for two years"

Declaration

By submitting this form, I certify that the information I have submitted on the application form and the documents I have submitted to be true and accurate.