MARES Volunteer Registration Form

We are looking for volunteers who are honest, kind hearted and willing to sacrifice time, money and comfort to help those in need in flood stricken areas. If you have those qualities we would like to get in touch with you. Please fill in your personal details below. On behalf of flood victims we thank you.
Name : *
Ali bin Abu
Your answer
IC Number : *
881211025512
Your answer
Address 1 *
A-2-2, Villa Apartment,
Your answer
Address 2 :
Persiaran 1, Sg. Tangkas,
Your answer
City : *
Bangi
Your answer
Poscode : *
43600
Your answer
State : *
Your answer
Mobile : *
Exp:60123323333
Your answer
Home :
Exp:60388822345
Your answer
Office :
Exp:60388822345
Your answer
Job Title *
Your answer
Your GPS Location
you can get from : http://itouchmap.com/latlong.html , Exp: 2.929755,101.779146 , GPS Format only
Your answer
Skill that you have
Your answer
How can you help us? *
Required
Which is the best way to contact you?
If you are Amateur Radio Operator
Amatuer Radio Callsign
exp: 9W2XXX
Your answer
What transceiver do you have?
Exp: Dual Band Handy Yaesu FT60r, Single Band Mobile Icom V8000
Your answer
What antenna do you have?
exp:Single Band Mobile Diamond MC101, Dual Band Base Diamond X-200A
Your answer
Power Source
Exp: SLA Batery 7 Amph, PSU Diamond GZV 4000 40Amp, Genset Honda EU3000i
Your answer
Others Equipment
Exp:2 X RG-58 length 20m, Antenna pole
Your answer
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