Sign up

Join us!

Welcome to our community - tell us about yourself and sign up

Contact Info

NAME :

Username

Password

Telephone

Emergency Contact Name

Emergency Phone No.

Personal Info

Date of birth

Gender

Identity Card/Passport No.

Company

Address

Zip Code

City

State

Country

Licence Application Info

For Year

Filled by

State Association

Club

Applicant

State Association Memberships Number (If Any)

Role

Category

TEAM / CLUB :

Upload Applicant Passport-Size Photo

Your image file must be of gif, png, jpg, jpeg type. Your image file should not exceed 3.91 MBs. Images exceeding the maximum width of 200 will be resized. Images exceeding the maximum height of 500 will be resized.

Select image file

By uploading, you certify that you have the right to distribute this image.

Fees Payment

Fees

Category	Fee (RM)	Remark
Individu	80.00
Member of State Association (Affiliate)	60.00	Applicant must be a member of state cycling (Check HERE)
Foreigners	150.00	Non Malaysian Citizen
UCI Commissairie	300.00	UCI Certified Commissire
National Commissaire	60.00	MNCF Certified Commisaire
Continental Team	300.00	Continental Registered to UCI
Para Cycling	60.00

Protected by EasyCalcCheck Plus

Required field | Field visible on your profile | Field not visible on profile

Thanks for visiting our site! Hope you enjoy your stay!