She tells Tatler Malaysia that she participated in after-school athletic team competitions throughout her early school years, and that she started riding and show jumping at the age of four.

At the 45' Torneo Internacional de Polo Sotogrande in Spain in 2016, Princess Azemah made her debut representing Brunei on a distinguished platform.

[2] Princess Azemah made her national polo team debut during the 2017 SEA Games at the Putrajaya Equestrian Centre, on 22 August 2017.

[7][8] On 30 August 2017, she attended the 29th SEA Games awards ceremony held at the Putrajaya Equestrian Park in Kuala Lumpur, Malaysia, during which she received a bronze medal, after her polo team won against Singapore.

[12] In an announcement made by ASEAN on 1 December 2021, Princess 'Azemah was among the ten sports ambassadors selected to promote gender equality prior to the 2020 Tokyo Olympics.

[13] The Brunei polo team defeated Malaysia 7–4 to win the gold medal in the 0-2 handicap division at the 30th SEA Games in the Philippines.

[21] In 2009, she and Fadzilah played for the Ivy League during the Setia Motors Netball Open Championship at the Hassanal Bolkiah National Sports Complex.

[citation needed] On 27 February 2018, she attended the opening ceremony of the Shine Cycle Studio, a one-stop fitness center that caters to all ages, located in Bandar Seri Begawan, as her owner.

[33] On 18 October 2022, she attended the ceremony for the delivery of the proceeds of the Charity Polo Day 2022 ($135,819) to the Ehsan Al-Ameerah Al-Hajjah Maryam Center at Istana Nurul Izzah.

[36] On 12 June 2024, Azemah received the honorary medal of the State of Brunei on the occasion of her father's birthday, in a ceremony held at Istana Nurul Iman.

[39] She was among the Royal guests at the Installation of Yang di-Pertuan Agong XVII, Sultan Ibrahim of Johor, on 20 July 2024, in a ceremony held in Istana Negara.

[40] Princess Azemah's royal marriage to her first cousin,[41] Pengiran Muda Bahar was proclaimed by the Chief of Adat Istiadat, per the orders of Sultan Hassanal Bolkiah.