Course Registration

Your Full Name (required)

Your Identification card or passport number (required)

Your Date of Birth (dd/mm/yy) (required)

Your Email (required)

Your Mailing Address (required)

Your Phone Number (required)

Nationality (required)

Course To Register (required)

Course Commencement Date dd/mm/yy (required)

Course Fees RM (required)

Special Request or Message

Please upload your proof of payment here.

CIMB Bank: Fitness Innovations (M) Sdn. Bhd.
Account Number: 1258-0000-3690-50

Payment RM (required)

Please upload a copy of your I/C or Passport here.

Please attach your exam application form (If applicable). Download here!

Certification of True Statement : I certify that the information I have provided on this application form is true and complete. I understand that misrepresentation may result in cancellation of my admission. I understand that all credentials and documents I submit become the property of Fitness Innovations (Malaysia) Sdn Bhd.

Your Name or Signature (required)