CovBA - Solidarity Pledge to End Domestic Violence in Malaysia

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in ending domestic violence in Malaysia. Please read the document below prior to making your pledge. Following the pledge, you will also be added into the mailing list of Women's Aid Organisation (WAO) to receive updates on their future programmes.
___

Terima kasih atas minat anda untuk membanteras keganasan rumah tangga di Malaysia. Sila baca dokumen di bawah sebelum membuat ikrar ini. Anda juga akan menerima maklumat terkini daripada Pertubuhan Pertolongan Wanita (WAO) selepas mengambil ikrar ini.

Email *

I solemnly pledge against domestic violence and will always uphold all the principles highlighted in the pledge above. / Saya berjanji untuk menentang keganasan rumah tangga dan akan sentiasa menegakkan semua prinsip yang diketengahkan dalam ikrar di atas. *

Yes / Ya

Name / Nama *

Location / Lokasi *

State, Country / Negeri, Negara

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms