Golden Pearl Club Membership Application
Golden Pearl Club Membership Application
Member’s Information
Island Hospital Reg. No. (If Available)
Name *
Gender
Birthday *
Email *
MyKad / Passport No. *
Nationality
Home Number *
Mobile Number *
Address *
Postal Code *
State *
Country / Region*
Preferred Language
Next of Kin’s Information
Island Hospital Reg. No. (If Available)
Name *
Gender
Email *
Home Number *
Mobile Number *
Address *
Relationship to the Golden Pearl Club applicant
Country / Region
Preferred Language
Terms & Conditions
“Island Hospital’s Golden Pearl Club membership is applicable to both Malaysians and non-Malaysians from 60 years of age.
Membership is complimentary and no membership fee is required. The membership is auto-renewed on a yearly basis.
Upon receiving the confirmation of enrolment to Golden Pearl Club via email, the member is eligible to enjoy privileges and benefits set by Island Hospital and its partners.
Complimentary home-to-hospital concierge assistance is only available to those who are residing on Penang island (until further notice) and applicable to individuals with outpatient appointments only.
The Golden Pearl Club membership is not transferable to a third party or applicable with any other promotions, discounts and/or privileges.
Island Hospital reserves the rights to discontinue or modify any of the Terms & Conditions, benefits and privileges deemed necessary at any time without prior notification.”
Island Hospital is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:
In order to provide you the content requested, we need to store and process your personal data. By submitting this form, you may consent to us storing your personal data for this purpose.