VOLUNTEER APPLICATION (Aplikasi untuk Sukarelawan)
YWAM Ships Singapore
Gender (Jenis Kelamin) *
Title (Status) *
First Name (Nama Depan) *
Your answer
Personal Particulars (Informasi Peribadi)
- As in the Passport - (Seperti yang dalam paspot atau KTP)
Date of Birth (Tanggal Lahir) *
MM
/
DD
/
YYYY
Surname/Family Name (Name Keluarga/Nama Ayah) *
Your answer
Nationality (Kewarganegaraan) *
Your answer
Email Address (Alamat email) *
Your answer
Passport Number (Nomor Pasport) *
Your answer
Passport Expiry Date (Tanggal Kadarluasa Pasport) *
passport must be valid more than 6 months of coming to Indonesia: (hanya untuk orang asing)
MM
/
DD
/
YYYY
Contact Information (Kontak Informasi)
Home/Office Address (Alamat Rumah/Kantor) *
Your answer
Mobile Phone Number (Nomor HP) *
+ (country code/koda negara) (mobile phone no#/nomor HP)
Your answer
Relevant qualifications: (Kualifikasi relevan)
Example: Medical degree and specialisation, teaching, counselling, logistics, media, working with children etc. (Contoh: Gelar medis dan dokter spesialis, mengajar, konseling, logistik, media, bekerja dengan anak-anak)
Your answer
How well do you speak English? (Seberapa baik anda berbahasa Inggris?)
How well do you speak Bahasa Indonesia? (Seberapa baik anda berbahasa Indonesia?)
Marital Status (Status Peribadi) *
Occupation (Pekerjaan) *
Your answer
Name of Referee (Nama orang yang merujuk)
Please provide a referee from your organisation or company that knows you well: (Sebutkan nama seseorang yang bisa merujuk kamu dari kantor atau organisasi)
Your answer
Referee Contact Number (Nomor Kontak orang yang merujuk)
Your answer
Referee Email Address (Alamat email orang yang merujuk)
Your answer
Next of Kin (Kontak Emergency)
(In Case of Emergency) (Dalam situasi darurat)
Name (Nama) *
Your answer
Relationship (Hubungan) *
Your answer
Address (Alamat) *
Mobile Phone Number (Nomor HP) *
+ (country code/koda negara) (mobile phone no#/nomor HP)
Your answer
Home Phone Number (Nomor telepon rumah) *
+ (country code/koda negara) (area code/koda area) (home phone no#/nomor rumah)
Your answer
Humanitarian Trip Experience (Pengalaman Dalam Perjalanan Kemanusiaan)
Do you have any humanitarian trip experience? (Apakah kamu pernah berpengalaman dalam perjalanan kemanusiaan?) *
if Yes, please list relevant locations and dates (Jika ya, tolong tuliskan lokasi dan tanggal yang relevan)
Your answer
Please describe how you were introduced you to us (Tolong jelaskan bagaimana anda diperkenalkan kepada kami) *
Your answer
Area of preferred duties (Area tugas yang disukai)
Note : We cannot guarantee that you will get to serve in your preferred area. (Nota: Kami tidak bisa menjamin bahwa anda akan dapat melayani di area yang disukai)
HEALTH (KESIHATAN)
Blood Group (Golongan Darah) *
Your answer
Have you been or are you currently affected by any of the following: (Pernahkah kamu atau sedang menderita suatu penyakit yang di bawah ini) *
Required
Other condition(s) affecting or restricting your physical movement? (Adakah kondisi yang lain yang mempengaruhi pergerakan anda?) *
If Yes, please describe (Jika ya, jelaskan)
Your answer
Are you on medication/prescribed drugs? (Apakah anda dalam masa pengobatan?) *
If Yes, list medication/s (Jika ya, daftarkan obat-obatan itu)
Your answer
If you have undergone recent surgery, please describe (Kalau pernah menjalankan operasi belakangan ini, tolong jelaskan)
Your answer
If you have allergies, please describe (Kalau kamu punya alergi, tolong jelaskan)
Your answer
Special Diet (Diet Khusus)
If you have special diet, please describe (Kalau kamu punya diet khusus, tolong jelaskan)
Able to eat spicy(bisa makan pedas)? Any food allergies(Alergi makanan)?
Your answer
Criminal Offence (Catatan Kriminal)
Have you ever been convicted of a criminal offense? (Apakah kamu pernah berurusan dengan kriminal/ditangkap polisi) *
If Yes, please describe (Jika ya, tolong jelaskan)
Your answer
Trip Dates including traveling days Jan 2018 to Dec 2018 (Tanggal Pelayaran termasuk hari perjalanan Jan 2018 to Dec 2018) *
Please kindly tick the dates you are interested.
Required
Would you like to receive our newsletters? *
Please send a photo of yourself to ships@ywam.org.sg
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