• +604-828 5972
  • sjamktl@sjam.org.my

Rakan St. John

Interested to Join Rakan St. John, Contact Us Now!

Full Name as per IC/姓名/Name Penuh *

IC Number/身份证号码/Nombor IC (xxxxxx-xx-xxxx) *

Phone Number/联络电话/Nombor Telefon (Enter number only without '-') *

Email/邮址/Emel *

Mailing Address/邮寄地址/Alamat Surat-menyurat

Town/市镇/Bandar *

Interested In/兴趣/Minat

First Aid TrainingCommunity ServicesDisasterEmergency Medical Services

Emergency Contact Name/紧急联络人姓名/Nama Penghubung Kecemasan *

Relationship/紧急联络人关系/Hubungan *

Emergency Contact Number/紧急联络电话/Nombor Telefon Penghubung (Enter number only without '-') *

Any Message/任何信息与留言/Lain-lain Mesej

All information provided will be kept confidential. We will not disclose your personal information to a third party without your consent, unless we are required or authorised to do so by law or other regulation.

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Should you have any inquiry, do not hesitate to leave a message to us. We will attend to you at the soonest possible time. Thank You!

  • Address

    Wisma St. John Ambulans Pulau Pinang, 24-A, Jalan Grove, 11400 Air itam, Pulau Pinang, Malaysia.

  • Mail Us

    sjamktl@sjam.org.my

  • Call Us

    +(60)4 - 828 5972

  • Fax Us

    04-8293334