tkbsb.my - Koperasi Blegenda Selangor Berhad

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Register As A Co-operative Member

Fill up the form below to apply for a membership to Koperasi Blegenda Selangor Berhad. Fields marked (*) are compulsory.

MyKad Number *

Password (between 6-30 characters) *

Your MyKad Number and Password will be used to login into your member area.

Full Name *

Email Address *

Phone Number *

Gender

Address of Residence

Occupation

Next-of-kin's Name

Next-of-kin's MyKad Number

Next-of-kin's Phone Number

Your Bank Name

Your Bank Account Number

Share Value (min: RM1000)

Registration Fee (Fixed)

Payable Today

Payment Method

Online Banking (FPX) Manual Bank Transfer

You will be redirected to our FPX payment gateway upon submission to complete your registration. A transaction fee of RM1.00 will be charged. Transfer payment to Public Bank Account: 3231359922 (KOPERASI BLEGENDA SELANGOR BERHAD)

Check the boxes to accept the following:

I hereby acknowledge that all the information provided above are accurate to the best of my knowledge. I also give consent to Koperasi Blegenda Selangor Berhad (KBSB) to collect, store, and use all the data provided in this form in accordance with the Personal Data Protection Act (PDPA) 2010.

I also hereby agree to all the Terms & Conditions set by KBSB.

Date: 14 February 2026

Membership Registration Form

Register As A Co-operative Member

Fill up the form below to apply for a membership to Koperasi Blegenda Selangor Berhad. Fields marked (*) are compulsory.

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