RRIC 2016 Volunteer Registration Form
Volunteers at work!
Full name *
As per stated in IC
Your answer
Gender *
Nationality *
Your answer
Date of birth *
Your answer
NIC/Passport number *
Your answer
Contact number (mobile phone) *
01x-xxx xxxx
Your answer
Email address *
Valid and reachable as the organisers will be using this as the primary form of communication
Your answer
Dietary *
Medical condition *
If any
Your answer
Next of kin *
Name and relationship
Your answer
Contact number of the mentioned next of kin *
Mobile phone and home/work in any case of emergencies
Your answer
Is this your first time volunteering with Raleigh Kuala Lumpur or Raleigh Round Island Challenge? *
Tell us more about your self and why you are volunteering.
GIve us a little of your background, what other volunteering/ social/ environmental work you have done and why do you do them. In your own words. =)
Your answer
Never submit passwords through Google Forms.
This form was created inside of Raleigh International KL. Report Abuse - Terms of Service - Additional Terms