SSM Number of Company
Position/Role in the Company
Company Zip Code
Have you participated in CYEA as a Nominee before?
How did you get to know us?
Who is the person who Nominated You?
Enter Name of JCI Local Organisation of his / her from
Proof of Payment (PDF)
Nomination entry fee: RM1,000.00
Bank details: CIMB Bank Berhad 8007 820 295 (Junior Chamber International